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Minnesota rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.48 / $556.48 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.64 / $574.17 / $912.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $469.95 / $4,980.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.51 / $1,585.01 / $2,062.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.29 / $1,938.57 / $4,663.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.10 / $1,631.38 / $2,422.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.08 / $1,772.32 / $3,672.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.20 / $1,458.57 / $2,221.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.48 / $940.45 / $1,587.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.82 / $1,109.11 / $2,412.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.82 / $1,219.67 / $2,342.98