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Pennsylvania rates for HCPCS 64742

Transection or avulsion of; facial nerve, differential or complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,077.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.31 / $478.25 / $478.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00