go back

Oklahoma rates for HCPCS 64575

Open Implantation Nea Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,683.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,997.02 / $15,997.02 / $15,997.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.85 / $452.32 / $19,869.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23