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Michigan rates for HCPCS 64734

Transection/Avulsion Infraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.86 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.60 / $645.50 / $689.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.90 / $2,166.54 / $2,935.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.60 / $551.48 / $912.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.64 / $522.17 / $1,117.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.88 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.88 / $515.05 / $779.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $434.83 / $667.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.00 / $3,569.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.04 / $525.94 / $755.58