go back

Oklahoma rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.67 / $402.99 / $434.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.09 / $1,491.09 / $1,491.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $597.88 / $763.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.99 / $669.55 / $4,193.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.79 / $516.08 / $3,951.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.33 / $482.46 / $658.19