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Arizona rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.37 / $304.12 / $1,612.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.27 / $324.89 / $406.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.57 / $363.64 / $594.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.95 / $396.82 / $20,792.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.13 / $331.20 / $8,263.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.00 / $14,308.00 / $22,499.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $319.68 / $627.89