go back

North Carolina 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
$670.22 / $1,181.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.22 / $688.93 / $1,313.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.11 / $1,492.97 / $1,910.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $530.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.48 / $1,017.53 / $1,692.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.22 / $893.23 / $1,467.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $817.00 / $893.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.10 / $869.10 / $1,932.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.48 / $920.72 / $1,657.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.89 / $3,294.70 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,852.16 / $4,852.16 / $5,790.30