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Idaho rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.92 / $733.26 / $1,105.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.09 / $685.12 / $810.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.88 / $823.98 / $1,271.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.40 / $792.43 / $1,068.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $634.59 / $798.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.52 / $4,867.04 / $5,994.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.81 / $899.78 / $1,068.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.99 / $682.18 / $974.34