go back

Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $436.52 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $11,748.98 / $23,442.29