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Nebraska rates for HCPCS 64569

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

Facilitymedian $6,607 · 10th–90th $1,413–$22,9090%10%10th90th$6,607Professionalmedian $1,660 · 10th–90th $1,413–$2,3990%20%40%10th90th$1,660$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $5,011.87 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $30,199.52 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,230.27 / $18,620.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,659.59 / $2,398.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $9,772.37 / $16,982.44