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Kansas rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.00 / $4,747.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.32 / $449.10 / $743.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.20 / $1,620.02 / $2,568.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.87 / $697.49 / $697.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.99 / $620.00 / $971.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.10 / $743.87 / $3,635.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.16 / $588.16 / $3,951.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.16 / $554.05 / $753.08