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Missouri 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
$1,000.00 / $2,818.38 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $512.86 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,248.07 / $12,302.69