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West Virginia rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.57 / $1,056.75 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.41 / $688.93 / $1,069.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.81 / $818.38 / $891.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.65 / $792.56 / $792.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.06 / $774.06 / $774.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.18 / $997.45 / $1,902.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.82 / $794.06 / $1,161.04