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Maine 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
Professional
Modifier
Low / Median / High Price
$676.08 / $776.25 / $1,071.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,584.89