go back

South Carolina rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.25 / $5,866.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.33 / $770.70 / $877.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.51 / $8,455.28 / $14,557.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.57 / $1,244.00 / $1,800.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $774.06 / $890.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.28 / $969.22 / $1,743.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.81 / $974.70 / $1,536.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.43 / $758.38 / $1,191.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.49 / $784.98 / $1,666.59