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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
$570.25 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.91 / $570.25 / $592.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.90 / $2,166.54 / $2,935.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.22 / $444.77 / $753.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.94 / $529.09 / $1,054.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.65 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.63 / $542.65 / $762.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $388.56 / $585.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,640.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.16 / $562.99 / $803.23