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Alaska rates for HCPCS 64902

Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,148.15 / $4,570.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,905.46 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $977.24 / $3,630.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $954.99 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,862.09 / $4,677.35