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Massachusetts rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.74 / $2,067.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.32 / $235.24 / $435.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.36 / $4,287.00 / $9,830.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.47 / $413.66 / $2,859.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.02 / $218.48 / $390.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.34 / $347.39 / $644.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.68 / $310.02 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.47 / $337.30 / $465.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.09 / $394.67 / $706.70
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.58 / $1,928.58 / $1,928.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.30 / $4,983.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.58 / $665.45 / $2,859.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $452.48 / $857.07