go back

Pennsylvania rates for HCPCS 64856

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.79 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.23 / $1,024.79 / $1,673.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.69 / $1,049.85 / $1,861.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.13 / $1,140.13 / $1,140.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.92 / $1,244.01 / $2,027.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.30 / $1,625.45 / $2,061.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.89 / $1,142.19 / $2,605.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.59 / $1,084.59 / $2,073.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.13 / $1,140.13 / $1,140.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.24 / $1,271.88 / $2,034.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.49 / $988.99 / $988.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.25 / $988.99 / $1,045.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.11 / $1,274.75 / $1,909.17