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Texas 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
$831.76 / $3,162.28 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $9,772.37 / $19,498.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $724.44 / $758.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $64,565.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,317.64 / $17,782.79