go back

New Jersey 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
$627.37 / $5,244.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.59 / $598.69 / $914.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.39 / $914.12 / $2,113.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.32 / $863.96 / $935.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.05 / $728.54 / $1,312.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.21 / $766.14 / $1,912.79