go back

Kentucky rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.67 / $787.00 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.67 / $425.41 / $516.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $2,316.00 / $4,229.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.83 / $437.90 / $599.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.56 / $577.00 / $665.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.42 / $577.00 / $824.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.28 / $506.28 / $563.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.96 / $641.79 / $921.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $535.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.24 / $592.96 / $817.34