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Nebraska rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.20 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $224.20 / $684.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,906.94 / $7,769.24 / $15,028.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $271.27 / $456.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.50 / $2,916.50 / $2,916.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.38 / $440.09 / $759.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.55 / $263.38 / $1,013.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $502.24 / $1,683.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.60 / $565.76 / $3,499.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.44 / $474.86 / $686.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.37 / $498.41 / $649.10