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Pennsylvania 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

Facilitymedian $4,074 · 10th–90th $1,047–$11,2200%5%10%10th90th$4,074$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $4,073.80 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $66,069.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $58,884.37 / $186,208.71
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$72,443.60 / $72,443.60 / $72,443.60
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,570.40 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $66,069.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $14,125.38 / $100,000.00