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Washington rates for HCPCS 64585

Revision or removal of peripheral neurostimulator electrode array

Facilitymedian $468 · 10th–90th $200–$10,0000%10%10th90th$468Professionalmedian $295 · 10th–90th $141–$6760%10%10th90th$295$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $2,290.87 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $263.03 / $794.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,120.11 / $18,620.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $363.08 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $501.19 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $660.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $3,467.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $489.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $1,348.96
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $331.13 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,332.54 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $10,964.78 / $19,952.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $288.40 / $363.08