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Virginia 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
$851.14 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,791.08 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,071.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,445.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $933.25 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $12,882.50 / $29,512.09