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New Hampshire 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
$1,819.70 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $323.59 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $501.19
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $269.15 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $512.86