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Washington rates for HCPCS 64570

Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.00 / $2,769.52 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.82 / $17,694.72 / $36,111.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $7,318.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.63 / $1,491.06 / $6,417.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.00 / $1,329.32 / $1,514.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.52 / $1,032.82 / $5,433.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,241.40 / $18,867.00 / $36,111.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $5,547.00 / $19,271.00