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Alaska rates for HCPCS 64575

Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.14 / $1,458.36 / $2,041.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.14 / $1,458.36 / $2,041.70