go back

Michigan 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
$879.10 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.02 / $879.10 / $1,059.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.18 / $3,597.61 / $4,874.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.38 / $709.00 / $1,172.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.75 / $829.66 / $1,546.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.06 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.81 / $778.04 / $1,165.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.96 / $690.70 / $980.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,418.00 / $2,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.45 / $840.70 / $1,089.53