go back

North Dakota 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
$645.65 / $676.08 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $1,621.81