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Idaho rates for HCPCS 64553

Percutaneous implantation of neurostimulator electrode array; cranial nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $489.78 / $3,715.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $7,943.28 / $35,481.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $5,011.87 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $630.96 / $4,168.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $562.34 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $30,902.95 / $42,657.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,137.96 / $7,079.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $4,466.84 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $165,958.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $389.05 / $3,019.95