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Indiana 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
$794.33 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $977.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $512.86 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $954.99