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Arizona rates for HCPCS 64876

Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.87 / $187.08 / $1,020.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.65 / $1,564.80 / $2,559.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.95 / $197.66 / $247.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.07 / $237.67 / $374.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.21 / $242.34 / $1,887.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.96 / $216.37 / $1,415.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.26 / $205.56 / $377.89