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New York rates for HCPCS 64590

Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.57 / $2,807.62 / $10,152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,673.00 / $36,444.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.94 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.84 / $501.84 / $501.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $391.00 / $761.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.99 / $384.99 / $384.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.14 / $5,093.00 / $28,198.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.84 / $555.00 / $49,110.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $12,547.00 / $52,889.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.74 / $342.74 / $862.64