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Louisiana 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
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,778.28 / $9,120.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,148.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,445.44