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Kentucky 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
$243.54 / $787.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.30 / $404.36 / $477.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.91 / $354.91 / $416.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.00 / $6,186.00 / $20,161.00