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Ohio rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.98 / $1,883.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.67 / $209.98 / $467.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,405.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.55 / $168.58 / $286.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.60 / $160.78 / $201.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.58 / $240.68 / $306.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.41 / $251.62 / $429.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.12 / $243.12 / $243.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.35 / $255.99 / $427.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $228.20 / $323.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,625.00 / $7,853.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $330.63 / $554.89