go back

Illinois rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.73 / $1,835.00 / $5,091.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.35 / $697.73 / $1,370.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,158.35 / $8,894.87 / $17,811.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.73 / $1,125.34 / $1,289.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.57 / $1,011.35 / $1,490.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.11 / $1,180.09 / $2,855.86
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.08 / $876.64 / $973.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,101.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.56 / $983.92 / $1,581.70