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Indiana rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.41 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.91 / $425.41 / $558.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.38 / $506.10 / $698.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.16 / $578.05 / $867.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.90 / $516.13 / $743.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.56 / $1,239.56 / $1,469.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.63 / $581.45 / $949.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,874.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.94 / $510.29 / $884.38