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Maine rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $234.42 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $295.12 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $5,495.41 / $10,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $257.04 / $489.78