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Washington rates for HCPCS 64734

Transection/Avulsion Infraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.04 / $4,011.00 / $18,711.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.01 / $645.50 / $1,407.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,827.48 / $5,471.61 / $12,100.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.23 / $1,182.10 / $4,740.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.25 / $761.81 / $2,190.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.70 / $925.34 / $1,580.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.47 / $924.45 / $1,921.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.47 / $904.55 / $1,654.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.38 / $528.38 / $1,162.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.09 / $965.47 / $1,058.59
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.07 / $691.73 / $1,795.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.01 / $1,148.66 / $1,433.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,913.81 / $5,468.48 / $10,466.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.47 / $1,027.76 / $1,368.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,681.00 / $6,857.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.61 / $835.78 / $1,489.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.78 / $439.78 / $569.79