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New Hampshire rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,189.02 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.17 / $652.32 / $902.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.53 / $985.94 / $1,519.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.01 / $669.01 / $669.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.61 / $1,109.14 / $1,642.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.43 / $1,031.11 / $2,022.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.49 / $897.65 / $1,624.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.93 / $514.72 / $655.10