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Arizona 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
$1,582.00 / $2,933.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.58 / $1,019.44 / $9,251.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $8,241.00 / $11,615.11