go back

Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $12,589.25 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,737.80 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $15,135.61 / $21,379.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $1,778.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $26,915.35 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,445.44