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New York rates for HCPCS 64581

Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.72 / $4,545.00 / $11,149.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $9,901.00 / $35,881.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.79 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.68 / $749.68 / $749.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $843.00 / $1,689.32
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.67 / $613.67 / $613.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,887.80 / $5,943.69 / $6,104.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $49,110.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $7,719.00 / $19,689.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.84 / $762.84 / $2,898.28