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Nebraska rates for HCPCS 64913

Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $173.78 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,912.51 / $17,378.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $371.54 / $478.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $275.42 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $371.54 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $436.52