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Oklahoma 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
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.45 / $617.91 / $680.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.94 / $930.32 / $1,217.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.94 / $871.04 / $2,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.98 / $777.07 / $4,956.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $634.00 / $2,526.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.74 / $742.18 / $1,015.25