go back

Rhode Island rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.31 / $570.25 / $758.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.94 / $563.24 / $1,021.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.24 / $768.90 / $933.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.00 / $647.05 / $1,003.63