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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,623.41 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $2,187.76 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,943.28 / $15,135.61