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Arkansas rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.23 / $1,277.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.10 / $807.77 / $1,060.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.63 / $940.79 / $996.13
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
$809.20 / $1,182.44 / $1,511.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.54 / $881.40 / $1,404.99