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Tennessee 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
$575.44 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,073.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,445.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $17,378.01 / $17,378.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,165.95 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,585.78 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,513.56