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Missouri 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
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.42 / $587.49 / $950.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.65 / $771.00 / $1,169.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.66 / $814.35 / $1,273.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.94 / $875.00 / $1,962.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.07 / $990.99 / $4,282.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.05 / $892.28 / $1,363.72