go back

Pennsylvania rates for HCPCS 20664

Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $2,137.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,778.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $1,949.84
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $1,584.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,202.26 / $2,754.23
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,819.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,995.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $870.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $758.58 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,630.27 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,621.81