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Texas rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.27 / $2,673.00 / $8,328.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,723.38 / $9,466.31 / $18,994.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $724.60 / $753.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.06 / $882.06 / $882.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $64,545.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.55 / $870.21 / $1,580.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.90 / $890.12 / $1,686.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.00 / $7,350.00 / $16,000.00