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Pennsylvania rates for HCPCS 64790

Excision of neurofibroma or neurolemmoma; major peripheral nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
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
$970.88 / $970.88 / $970.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,803.42 / $6,874.07 / $12,217.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.88 / $970.88 / $970.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.72 / $829.28 / $829.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00