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Idaho 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
$1,621.81 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $6,165.95 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $2,290.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $30,902.95 / $42,657.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $29,512.09