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Montana rates for HCPCS 61885

Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,047.13