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Tennessee 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
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.33 / $692.77 / $1,059.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $148.00 / $2,052.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.32 / $893.86 / $1,381.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.66 / $939.08 / $1,485.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.89 / $3,294.70 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,852.16 / $4,956.56 / $5,790.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.87 / $786.90 / $1,421.21