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  4. /CPT 64901
CPT 64901

NERVE GRAFT ADD-ON at Northside Hospital, Inc.

Cumming, GA

Pricing by billing methodology

Price type

All methodologies

$6.5k

Aggregated across all available billing methodologies for this code.

Case rate

$5.0k

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$984

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$32.4k

Reflects a negotiated percentage of total billed charges.

Other

$12k

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Feb 15, 2026

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