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Delaware 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
$4,073.80 / $4,073.80 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,202.26