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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
$3,594.62 / $3,594.62 / $4,315.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,318.12 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.80 / $851.80 / $851.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.70 / $991.76 / $1,090.70