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Iowa 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
$2,906.00 / $4,235.59 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.59 / $1,113.45 / $3,125.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.54 / $1,790.81 / $23,455.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.35 / $1,927.27 / $23,455.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22