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Pennsylvania rates for HCPCS 61888

Revj/Rmvl Neurostimulator Pulse Generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,389.00 / $8,017.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.43 / $391.62 / $391.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00