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Idaho rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.06 / $428.24 / $753.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,246.95 / $24,246.95 / $24,315.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.11 / $461.75 / $541.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.86 / $551.77 / $866.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.37 / $558.95 / $724.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $432.39 / $543.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,730.76 / $56,756.66 / $71,753.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.46 / $635.84 / $724.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $163,191.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.36 / $466.44 / $627.89