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Missouri 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
$1,184.00 / $3,232.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.29 / $724.40 / $750.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,864.00 / $39,694.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.29 / $756.04 / $1,335.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.90 / $1,045.10 / $1,785.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,093.10 / $7,900.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.47 / $1,203.66 / $5,421.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.00 / $4,963.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.98 / $1,037.84 / $1,647.18