go back

Pennsylvania rates for HCPCS 64734

Transection/Avulsion Infraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.31 / $470.44 / $809.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.05 / $539.67 / $922.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.57 / $592.57 / $592.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.19 / $572.44 / $964.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.27 / $875.42 / $1,085.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.01 / $565.48 / $2,565.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.10 / $423.10 / $1,053.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.57 / $592.57 / $592.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.07 / $585.11 / $964.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.26 / $503.44 / $503.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.26 / $503.44 / $539.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $2,391.00 / $3,905.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.47 / $601.91 / $942.44