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Massachusetts 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
$842.42 / $2,547.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.15 / $616.71 / $912.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.07 / $1,465.22 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.34 / $1,038.79 / $4,191.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.36 / $1,026.58 / $1,572.69
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.94 / $1,227.20 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.74 / $797.68 / $1,079.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.99 / $1,375.31 / $1,840.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,856.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.74 / $1,080.21 / $4,191.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.07 / $927.11 / $1,911.04