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Tennessee 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
$750.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.59 / $598.69 / $914.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $150.00 / $1,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.10 / $781.10 / $1,191.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.35 / $810.98 / $1,265.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.31 / $2,846.30 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,191.43 / $4,282.72 / $5,006.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.30 / $750.08 / $1,288.94