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Vermont rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.36 / $683.20 / $683.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.82 / $773.42 / $1,329.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.88 / $810.40 / $1,329.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.96 / $834.93 / $2,427.21