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New York 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
$501.19 / $3,090.30 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $660.69 / $1,148.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $8,511.38 / $36,307.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $1,348.96