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Michigan rates for HCPCS 64738

Transection or avulsion of; inferior alveolar nerve by osteotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $676.08 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $1,047.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $831.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,162.28 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $724.44