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New Hampshire rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,341.64 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.93 / $770.70 / $1,041.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.46 / $1,140.80 / $1,758.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.06 / $774.06 / $774.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.38 / $1,284.29 / $1,903.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.37 / $1,193.07 / $2,340.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.91 / $1,029.36 / $2,008.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.40 / $596.64 / $759.36