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Arizona rates for HCPCS 64901

Nerve Graft Each Nerve 1 Strand

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
$513.59 / $566.95 / $3,094.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.10 / $1,107.20 / $1,810.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.13 / $599.01 / $748.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.30 / $722.94 / $1,152.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.25 / $734.43 / $1,887.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.00 / $666.00 / $4,282.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.28 / $621.60 / $1,146.24