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Alaska rates for HCPCS 64734

Transection or avulsion of; infraorbital nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.85 / $2,318.62 / $2,318.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.89 / $1,561.13 / $2,202.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.85 / $2,318.62 / $3,246.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.20 / $1,545.84 / $3,138.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.10 / $2,309.85 / $2,934.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.62 / $2,318.62 / $3,246.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.21 / $2,161.50 / $3,317.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,905.54 / $3,905.54 / $3,905.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.49 / $1,884.10 / $2,841.25