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North Carolina 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
$748.68 / $1,217.50 / $7,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $19,530.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.68 / $828.07 / $1,356.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,317.00 / $14,893.00 / $22,265.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $56,337.55 / $64,545.55