go back

Utah rates for HCPCS 64569

Revision/Replmt Neurostimlator Eltrd Cranial Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.27 / $3,534.00 / $13,133.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,949.27 / $25,828.11 / $37,638.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00