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Connecticut rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,411.00 / $5,194.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.36 / $492.11 / $1,209.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,410.00 / $6,763.00 / $10,956.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.85 / $793.59 / $1,149.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.00 / $2,534.25 / $2,534.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.77 / $827.23 / $1,291.52
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.93 / $590.21 / $891.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.00 / $5,307.00 / $8,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.00 / $778.08 / $1,339.02