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New Mexico 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
$566.49 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.59 / $572.55 / $1,249.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.82 / $717.75 / $1,138.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.35 / $904.02 / $1,184.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $926.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.59 / $704.09 / $966.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.46 / $965.67 / $1,450.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.77 / $883.61 / $1,437.29