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Delaware 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
$1,654.84 / $3,140.00 / $11,032.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.91 / $643.91 / $649.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.02 / $905.83 / $1,186.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.10 / $910.04 / $1,553.03