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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.64 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,881.23 / $30,095.07 / $58,213.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,069.52 / $17,069.52 / $17,069.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.12 / $1,211.61 / $9,696.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.80 / $1,837.65 / $23,455.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $9,496.00 / $11,191.68