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Arizona rates for HCPCS 64913

Nerve Repair W/Nerve Allograft Ea Addl Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.59 / $171.88 / $932.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.10 / $1,100.28 / $1,810.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.94 / $173.27 / $216.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.22 / $213.46 / $340.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.51 / $234.19 / $1,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.82 / $195.21 / $1,257.76
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
$149.82 / $186.14 / $341.49