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Illinois 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
$602.56 / $1,995.26 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $14,454.40 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $19,498.45 / $19,498.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $2,691.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $9,772.37 / $25,703.96