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Colorado 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
$1,202.26 / $3,801.89 / $8,709.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $33,113.11 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $14,125.38 / $44,668.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $20,892.96 / $48,977.88