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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
$1,047.13 / $3,715.35 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$169.82 / $169.82 / $169.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $25,118.86 / $61,659.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,691.53 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $2,041.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $26,915.35