go back

Oklahoma rates for HCPCS 64714

Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.09 / $1,491.09 / $1,491.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.14 / $978.27 / $5,543.93
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.51 / $497.27 / $497.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $3,317.00 / $5,543.93