go back

Virginia rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.69 / $3,645.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.22 / $770.70 / $929.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.09 / $799.36 / $1,321.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.56 / $767.56 / $1,450.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $774.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.00 / $900.46 / $1,508.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.88 / $820.33 / $957.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.93 / $903.08 / $1,298.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.00 / $987.90 / $1,307.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.48 / $913.68 / $1,548.97
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.48 / $913.68 / $1,548.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.82 / $865.25 / $1,317.62