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Michigan 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
$660.69 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,148.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,584.89 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $831.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,162.28 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $794.33