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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.71 / $746.11 / $1,236.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.58 / $776.00 / $890.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.28 / $918.69 / $1,422.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.01 / $915.28 / $1,186.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $707.48 / $890.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.52 / $4,867.04 / $5,994.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.78 / $1,039.74 / $1,186.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.99 / $773.24 / $1,055.77