go back

Idaho rates for HCPCS 64742

Transection/Avulsion Facial Nrv Different/Cmpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.87 / $895.07 / $1,383.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.52 / $4,867.04 / $5,994.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00