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Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,589.25 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,737.80 / $20,417.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $12,302.69 / $22,387.21