go back

Pennsylvania rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $3,077.00 / $7,175.00
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
$633.79 / $633.79 / $633.79
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$63.12 / $63.12 / $63.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,774.88 / $4,341.64 / $9,582.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,654.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.79 / $633.79 / $633.79
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$63.12 / $63.12 / $63.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.13 / $549.13 / $626.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00