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Missouri 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
$1,513.56 / $3,235.94 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,096.48 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,265.80 / $11,481.54