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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
$758.84 / $2,505.00 / $8,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.01 / $847.01 / $847.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,087.90 / $15,087.90 / $15,087.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.84 / $2,422.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.01 / $847.01 / $847.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.70 / $723.29 / $723.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00