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Arizona rates for HCPCS 64890

Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.01 / $1,076.34 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.25 / $1,108.85 / $1,386.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.02 / $1,267.32 / $2,161.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.78 / $1,355.66 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.90 / $1,187.11 / $7,918.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,358.00 / $6,506.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.99 / $1,117.14 / $2,118.53