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Pennsylvania 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
$530.45 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $512.38 / $788.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.44 / $538.00 / $938.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.41 / $586.41 / $586.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.52 / $643.98 / $1,040.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.62 / $841.28 / $1,059.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $554.33 / $2,655.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.90 / $603.90 / $1,150.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.41 / $586.41 / $586.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.58 / $655.86 / $1,052.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.48 / $505.48 / $525.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.58 / $511.35 / $535.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.59 / $651.95 / $1,025.72