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Michigan 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
$933.42 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.88 / $933.42 / $969.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,303.96 / $6,191.33 / $8,434.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.37 / $760.93 / $1,217.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.04 / $951.58 / $1,388.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.94 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.94 / $687.20 / $969.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $534.32 / $871.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $10,359.00 / $12,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.82 / $892.93 / $1,185.71