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Louisiana 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
$497.00 / $1,300.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,687.12 / $20,278.09 / $46,332.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $286.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $8,932.00 / $24,051.00