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Massachusetts rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.10 / $309.93 / $500.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.05 / $6,096.00 / $45,973.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.22 / $521.26 / $8,263.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.41 / $514.29 / $854.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.33 / $680.42 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.69 / $436.92 / $598.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.22 / $779.52 / $1,238.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $6,474.00 / $54,918.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.12 / $578.12 / $8,263.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $20,362.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.73 / $473.51 / $917.18