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Nationwide rates for HCPCS 64595

Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable connection to electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,691.53 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,786.30 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $954.99 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,623.41 / $12,302.69