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Michigan 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
$2,884.03 / $2,884.03 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,174.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $10,471.29 / $19,498.45