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Alaska rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.31 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.31 / $316.12 / $1,102.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.72 / $599.57 / $1,047.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.73 / $684.42 / $1,543.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.78 / $696.75 / $1,400.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $826.00 / $1,387.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.73 / $752.86 / $1,543.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.93 / $780.90 / $1,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.86 / $932.11 / $1,405.63