go back

Pennsylvania rates for HCPCS 64771

Transection or avulsion of other cranial nerve, extradural

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
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.29 / $689.29 / $689.29
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
$689.29 / $689.29 / $689.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.73 / $566.73 / $598.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00