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New Mexico 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
$655.97 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.33 / $660.45 / $3,174.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.21 / $1,043.29 / $1,369.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,071.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.33 / $808.84 / $1,115.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.51 / $1,115.24 / $1,679.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.44 / $1,024.08 / $1,580.79