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Delaware 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
$3,235.94 / $3,235.94 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $5,128.61