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Wisconsin rates for HCPCS 64582

Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $15,488.17 / $31,622.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,620.87 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,162.28 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $15,848.93 / $26,915.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,737.80 / $2,511.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $100,000.00 / $147,910.84
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$10,000.00 / $10,000.00 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $20,892.96 / $27,542.29