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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
$1,778.28 / $6,025.60 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,570.88 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,754.23 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $19,498.45 / $19,498.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $19,498.45 / $77,624.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $380.19 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $15,848.93 / $39,810.72