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Indiana rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.59 / $1,386.00 / $19,148.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.67 / $201.23 / $287.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,758.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.26 / $141.58 / $201.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.96 / $170.25 / $298.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.36 / $258.43 / $323.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.73 / $2,605.73 / $3,088.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.81 / $255.07 / $511.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,582.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.65 / $315.66 / $552.11