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Texas 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
$578.29 / $2,131.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.29 / $655.72 / $1,038.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.79 / $9,027.12 / $18,228.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.97 / $848.55 / $1,346.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.79 / $5,487.01 / $5,487.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,434.96 / $4,434.96 / $4,434.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.06 / $941.16 / $1,425.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $17,524.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,290.72 / $5,421.36 / $6,129.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.84 / $761.87 / $1,543.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.27 / $1,087.80 / $1,279.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.23 / $709.23 / $796.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.15 / $786.86 / $1,641.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.06 / $959.96 / $1,441.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,123.00 / $16,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.62 / $780.47 / $1,238.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.79 / $692.61 / $958.81