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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.86 / $1,038.81 / $1,645.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.22 / $1,051.91 / $1,231.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.87 / $1,275.91 / $1,892.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.06 / $1,192.43 / $1,578.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $932.81 / $1,173.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.31 / $1,355.66 / $1,578.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.04 / $1,024.08 / $1,421.08