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Nebraska rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.89 / $281.89 / $1,612.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,881.23 / $30,095.07 / $58,213.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.80 / $465.00 / $619.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,296.07 / $30,296.07 / $30,296.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.00 / $677.15 / $899.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.89 / $506.29 / $15,622.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.19 / $604.79 / $841.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $762.89 / $33,254.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.00 / $603.54 / $899.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.19 / $604.79 / $751.20