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Arizona rates for HCPCS 64896

Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length

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
$1,219.50 / $1,392.50 / $7,455.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,531.19 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.02 / $1,464.02 / $1,830.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.65 / $1,669.67 / $2,851.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,362.58 / $1,787.75 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.11 / $1,592.79 / $11,055.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.31 / $1,516.95 / $2,811.96