go back

New York rates for HCPCS 64580

Open implantation of neurostimulator electrode array; neuromuscular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.22 / $3,659.00 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.32 / $359.38 / $694.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,576.00 / $24,288.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.82 / $317.42 / $741.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.57 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.57 / $441.57 / $441.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.11 / $357.11 / $357.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.12 / $489.26 / $1,363.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $543.00 / $961.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.47 / $493.21 / $731.35
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.08 / $294.08 / $294.08
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.16 / $364.94 / $662.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.11 / $555.00 / $49,110.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.83 / $489.26 / $1,257.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $7,719.00 / $52,889.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.16 / $427.24 / $1,018.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.94 / $364.94 / $1,419.90
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.16 / $403.26 / $794.29