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Minnesota 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
$724.44 / $724.44 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $23,988.33 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,630.27 / $6,309.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,479.11 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $6,309.57 / $13,182.57