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West Virginia rates for HCPCS 61886

Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $9,332.54 / $9,332.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$151.36 / $151.36 / $151.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $34,673.69 / $87,096.36