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Arizona rates for HCPCS 64891

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,412.54 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $2,089.30