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Arizona rates for HCPCS 64584

Removal 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
$1,445.44 / $3,090.30 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,348.96 / $10,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,079.46 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,380.38