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Arkansas rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.19 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.57 / $697.13 / $922.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.14 / $812.68 / $860.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,761.98 / $3,761.98 / $3,761.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.93 / $1,040.99 / $1,305.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.80 / $760.70 / $1,212.72