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Indiana rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.02 / $1,773.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.52 / $289.02 / $379.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,048.00 / $4,010.00 / $48,877.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.24 / $365.80 / $504.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.75 / $366.28 / $404.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.75 / $338.10 / $422.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,067.92 / $27,067.92 / $32,086.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $388.55 / $626.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,475.00 / $14,882.00 / $20,461.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $333.76 / $572.98