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California 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
$1,208.95 / $5,310.00 / $16,713.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.00 / $4,734.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,619.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,988.00 / $19,487.34 / $34,902.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.89 / $365.84 / $516.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.39 / $416.82 / $745.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.85 / $12,000.00 / $77,786.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.81 / $394.78 / $571.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,444.00 / $16,756.00 / $45,545.00