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Pennsylvania 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
$665.39 / $2,483.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.32 / $665.39 / $969.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.63 / $756.03 / $1,170.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.02 / $947.90 / $1,535.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.07 / $1,138.11 / $1,138.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,930.66 / $17,392.59 / $38,431.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,422.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.55 / $746.26 / $1,978.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $1,676.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.03 / $930.48 / $1,625.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.31 / $714.31 / $728.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.81 / $717.55 / $751.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.93 / $952.21 / $1,433.91