go back

Idaho rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,661.31 / $13,661.31 / $13,699.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.25 / $1,208.13 / $2,165.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.87 / $31,165.89 / $41,273.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00