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New Hampshire rates for HCPCS 64585

Revj/Rmvl Perph Neurostimulator Electrode Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,238.84 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.79 / $265.29 / $435.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.41 / $241.20 / $362.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.12 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.02 / $347.39 / $610.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.83 / $330.94 / $660.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.19 / $488.78 / $1,756.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.91 / $215.06 / $355.23