go back

Maryland rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.15 / $6,060.81 / $7,932.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.31 / $241.66 / $638.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.99 / $160.26 / $253.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $1,835.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $249.28 / $542.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.57 / $320.66 / $443.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $342.85 / $612.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.57 / $285.86 / $352.94