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Pennsylvania rates for HCPCS 64905

Nerve pedicle transfer; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.92 / $2,675.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.30 / $1,133.30 / $1,133.30
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,516.00 / $11,077.44 / $61,978.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $2,675.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.30 / $1,133.30 / $1,133.30
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.26 / $112.26 / $112.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.54 / $982.42 / $982.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,742.00 / $7,000.00