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Pennsylvania rates for HCPCS 64570

Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,311.31 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,570.40 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,128.61 / $10,964.78