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Wyoming 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
Professional
Modifier
Low / Median / High Price
$566.95 / $588.04 / $732.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.00 / $1,416.00 / $2,280.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.19 / $1,153.79 / $1,453.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.08 / $1,206.39 / $2,151.51