go back

Connecticut 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
$2,290.87 / $4,786.30 / $56,234.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $33,113.11 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $12,589.25 / $21,877.62