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Nebraska 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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.55 / $611.55 / $3,584.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,810.78 / $8,958.04 / $17,327.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.25 / $1,001.00 / $1,334.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.03 / $1,476.39 / $2,041.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.55 / $1,131.39 / $1,981.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.10 / $1,366.23 / $1,879.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,490.54 / $2,041.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.00 / $1,436.46 / $2,041.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.10 / $1,393.61 / $1,802.98