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Ohio rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.78 / $3,602.00 / $10,635.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,173.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.57 / $892.72 / $1,185.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.06 / $882.06 / $882.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,534.00 / $9,390.00 / $12,871.00