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Louisiana rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.33 / $1,031.25 / $1,145.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.21 / $6,927.13 / $9,730.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.54 / $913.26 / $1,251.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $577.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.00 / $725.00 / $725.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.80 / $927.26 / $1,203.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.30 / $833.38 / $1,481.95