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Arkansas 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
$380.96 / $1,064.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,156.18 / $12,156.18 / $14,587.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,730.42 / $8,730.42 / $8,730.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.00 / $5,455.00 / $12,000.00