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Alabama 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
$575.44 / $1,445.44 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $33,884.42 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,413.10 / $12,589.25