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New York 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
$1,096.48 / $3,890.45 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $34,673.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,398.83 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,754.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $36,307.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $891.25 / $2,089.30