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Virginia rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.00 / $2,190.00 / $8,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.58 / $255.40 / $434.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.07 / $170.17 / $281.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.99 / $165.49 / $2,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.12 / $243.12 / $420.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.58 / $249.26 / $520.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.61 / $294.14 / $347.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.94 / $265.00 / $469.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $358.19 / $591.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.46 / $200.26 / $1,291.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.82 / $369.10 / $1,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.55 / $361.53 / $690.43