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Montana rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.31 / $262.24 / $356.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.90 / $227.67 / $382.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.67 / $227.67 / $227.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.44 / $240.37 / $410.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $200.92 / $540.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.40 / $290.52 / $498.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.55 / $408.90 / $495.31