go back

Delaware rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.53 / $435.80 / $435.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.78 / $1,014.78 / $1,014.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.08 / $440.78 / $826.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.50 / $483.94 / $1,028.77