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North Dakota 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 / $331.13 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $389.05 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $19,952.62 / $21,379.62