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Michigan rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.31 / $328.57 / $3,883.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.31 / $234.93 / $361.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.85 / $3,422.36 / $4,636.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.83 / $135.38 / $337.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.25 / $214.34 / $459.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.31 / $318.56 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.35 / $268.29 / $408.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.81 / $221.17 / $324.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.67 / $313.95 / $511.69