go back

Missouri 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
$1,098.00 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.14 / $680.60 / $1,100.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.26 / $886.00 / $1,352.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.89 / $933.46 / $1,475.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.19 / $963.27 / $2,253.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.68 / $1,145.67 / $4,956.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.71 / $1,014.17 / $1,505.65