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Idaho rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.96 / $710.37 / $6,715.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $316.12 / $596.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,334.17 / $2,334.17 / $2,340.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.87 / $273.14 / $438.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.84 / $348.71 / $716.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.17 / $383.21 / $565.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $330.10 / $415.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,513.62 / $8,840.18 / $10,831.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $338.65 / $518.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.89 / $380.70 / $524.94