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Georgia 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
$588.84 / $3,630.78 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $5,128.61 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $7,244.36 / $10,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $8,912.51 / $25,118.86