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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $776.25 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $707.95 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $851.14