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Indiana 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
$627.76 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.80 / $627.76 / $842.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.32 / $4,417.00 / $7,761.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.12 / $1,046.80 / $1,413.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.52 / $788.48 / $909.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.52 / $670.20 / $909.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.84 / $898.98 / $1,468.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $789.04 / $1,327.30