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New Hampshire rates for HCPCS 64911

Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,341.64 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.90 / $1,199.95 / $1,467.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.20 / $1,788.84 / $2,767.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.38 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.42 / $1,957.72 / $3,090.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.15 / $2,044.05 / $3,549.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.49 / $1,628.00 / $3,047.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.42 / $891.46 / $1,134.58