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Maryland rates for HCPCS 64569

Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $10,715.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $3,548.13