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Alaska rates for HCPCS 64569

Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,549.93 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,691.53 / $5,011.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $5,011.87