go back

Massachusetts rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.00 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.36 / $481.98 / $758.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.10 / $3,133.00 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.25 / $783.23 / $3,951.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.90 / $746.65 / $1,242.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.55 / $977.60 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.29 / $629.04 / $860.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.47 / $1,105.13 / $1,752.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,592.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.42 / $830.99 / $3,951.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.16 / $684.49 / $1,320.87