go back

Maryland rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.84 / $688.93 / $1,813.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.56 / $767.56 / $1,170.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $445.00 / $453.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.09 / $908.04 / $1,495.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.59 / $915.87 / $1,215.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.70 / $808.11 / $1,447.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.68 / $816.48 / $1,002.27