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Minnesota 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 / $302.00 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $23,988.33 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $2,691.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $588.84 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $11,481.54 / $28,183.83