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Washington, DC 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
$316.23 / $3,162.28 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $691.83 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $25,703.96 / $54,954.09