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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
$1,737.80 / $3,715.35 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,413.10 / $11,748.98