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Arizona rates for HCPCS 64905

Nerve Pedicle Transfer First Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,897.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.70 / $1,249.82 / $7,167.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$251.53 / $251.53 / $1,661.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,358.00 / $6,506.00 / $9,010.00