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Michigan rates for HCPCS 64553

Percutaneous implantation of neurostimulator electrode array; cranial nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $478.63 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $478.63 / $4,168.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $436.52 / $5,370.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $478.63 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,000.00 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $2,454.71