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West Virginia 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
$292.33 / $475.49 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.43 / $401.19 / $552.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.91 / $354.91 / $354.91