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Kansas rates for HCPCS 64901

Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.00 / $4,747.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.59 / $587.49 / $950.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.08 / $848.33 / $848.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.13 / $831.67 / $1,225.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.45 / $876.81 / $1,713.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.07 / $769.02 / $4,282.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.32 / $739.44 / $1,298.70