go back

South Carolina 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
$896.98 / $5,866.00 / $16,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.64 / $4,773.22 / $8,868.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.06 / $1,740.00 / $18,606.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.53 / $896.98 / $1,686.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,628.00 / $17,146.00 / $24,161.00