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Pennsylvania rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.91 / $445.14 / $698.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.46 / $465.39 / $845.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.28 / $506.28 / $506.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.08 / $564.67 / $901.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.72 / $697.62 / $908.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.91 / $515.33 / $2,467.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.70 / $467.70 / $1,025.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.28 / $506.28 / $506.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.08 / $571.15 / $928.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.72 / $439.72 / $466.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.53 / $439.72 / $466.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.36 / $568.19 / $897.45