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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
$302.00 / $1,000.00 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $2,951.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $389.05 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $6,760.83 / $19,952.62