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Michigan 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
$2,041.74 / $2,041.74 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $478.63 / $478.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $2,041.74 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $11,481.54 / $30,902.95