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Tennessee rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.87 / $2,027.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.56 / $218.32 / $335.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,753.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.05 / $256.29 / $433.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.83 / $253.31 / $461.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.30 / $1,013.82 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.00 / $2,775.98 / $2,859.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.35 / $305.32 / $617.86