go back

Indiana 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
$933.25 / $4,897.79 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $40,738.03 / $57,543.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $758.58 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $17,782.79