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South Carolina 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
$851.14 / $4,897.79 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $19,952.62 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $537.03 / $16,218.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $398.11 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $46,773.51