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Pennsylvania rates for HCPCS 64714

Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,747.00 / $8,017.00
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
$871.56 / $871.56 / $871.56
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.57 / $86.57 / $86.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,077.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.56 / $871.56 / $871.56
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$86.57 / $86.57 / $86.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.53 / $743.67 / $743.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.00 / $3,517.00 / $6,368.00