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Pennsylvania rates for HCPCS 64712

Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,981.07 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.00 / $100.00 / $100.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $9,332.54 / $24,547.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,691.53 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,230.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,311.31 / $6,309.57