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Pennsylvania rates for HCPCS 64581

Open Implantation Nea Sacral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.21 / $3,938.00 / $10,638.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.68 / $749.68 / $749.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,708.08 / $13,862.53 / $42,053.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $4,264.00 / $10,638.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.68 / $749.68 / $749.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.15 / $641.15 / $809.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,573.00 / $12,076.00