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Pennsylvania rates for HCPCS 64713

Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $2,747.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.85 / $910.85 / $910.85
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.56 / $90.56 / $90.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.35 / $4,124.74 / $18,452.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $2,679.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.85 / $910.85 / $910.85
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.56 / $90.56 / $90.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.42 / $779.42 / $856.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00