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Arizona rates for HCPCS 64902

Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure)

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
$594.33 / $656.13 / $3,584.55
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
$606.53 / $693.18 / $866.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.44 / $843.11 / $1,341.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.04 / $847.36 / $1,887.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.22 / $770.73 / $4,956.56
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
$604.10 / $713.79 / $1,328.90