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Washington rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.61 / $4,011.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.48 / $732.19 / $1,627.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.84 / $2,679.44 / $16,394.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.54 / $1,372.99 / $5,118.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $670.00 / $761.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.87 / $1,048.60 / $1,755.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.29 / $1,205.97 / $1,511.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.54 / $1,162.75 / $1,516.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $842.37 / $1,474.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.31 / $1,095.90 / $1,183.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.84 / $791.84 / $803.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.21 / $1,278.07 / $1,594.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,732.95 / $5,732.95 / $7,222.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.58 / $1,143.55 / $1,539.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $546.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.55 / $964.70 / $1,711.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.64 / $488.64 / $615.16