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Kansas 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
$954.99 / $3,630.78 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $512.86 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $9,772.37 / $17,378.01