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Indiana 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
$683.60 / $2,318.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.47 / $683.60 / $854.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.35 / $680.36 / $938.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.57 / $859.74 / $992.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.57 / $793.61 / $944.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,140.62 / $4,140.62 / $4,140.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.26 / $893.32 / $1,388.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,649.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.85 / $827.34 / $1,387.80