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Arizona rates for HCPCS 64886

Nerve graft (includes obtaining graft), head or neck; more than 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.64 / $1,613.77 / $7,167.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00