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Alaska rates for HCPCS 64763

Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.14 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.31 / $2,430.31 / $2,430.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.08 / $1,684.64 / $2,200.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.09 / $2,430.31 / $3,402.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.23 / $1,525.47 / $3,096.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.70 / $2,279.40 / $2,940.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.09 / $2,430.31 / $3,402.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.44 / $2,278.50 / $3,358.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.40 / $2,033.15 / $3,066.02