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Missouri 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
$1,122.02 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $776.25 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,047.13