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Michigan rates for HCPCS 64902

Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure)

Facilitymedian $2,884 · 10th–90th $912–$4,8980%20%10th90th$2,884Professionalmedian $776 · 10th–90th $603–$1,2300%10%20%10th90th$776$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $707.95 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $831.76 / $1,071.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $851.14 / $1,513.56
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $831.76 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,096.48