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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
$1,513.56 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $2,187.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $2,951.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,089.30 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $2,691.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $707.95 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,348.96 / $3,388.44