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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 / $3,683.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.37 / $6,027.89 / $9,524.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,345.30 / $18,345.30 / $18,345.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.74 / $1,100.74 / $11,615.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,307.00 / $14,139.00