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North Carolina 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
$578.82 / $1,181.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.82 / $594.65 / $1,134.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.44 / $1,018.64 / $1,637.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $530.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.85 / $878.77 / $1,462.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.82 / $775.03 / $1,260.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $699.00 / $775.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.10 / $751.10 / $1,671.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.38 / $812.16 / $1,550.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.31 / $2,846.30 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,191.43 / $4,191.43 / $5,006.47