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California rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.95 / $5,310.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $309.93 / $1,612.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.00 / $4,734.00 / $13,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.68 / $480.93 / $878.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,619.97
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.39 / $353.60 / $798.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,528.00 / $39,664.61 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.56 / $384.05 / $832.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.07 / $398.28 / $28,317.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.45 / $415.90 / $740.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.35 / $12,000.00 / $114,559.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,740.05 / $8,263.84 / $8,263.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.69 / $398.00 / $584.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.33 / $402.52 / $829.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.65 / $1,000.65 / $1,000.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,444.00 / $16,756.00 / $45,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.19 / $322.92 / $667.25