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Tennessee rates for HCPCS 64738

Transection/Avulsion Inf Alveolar Nrv W/Osteo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.32 / $481.98 / $672.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.62 / $614.28 / $917.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.21 / $598.70 / $964.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,494.26 / $5,246.20 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,951.10 / $3,951.10 / $3,951.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $545.45 / $939.13