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Arkansas 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
$160.80 / $803.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,303.00 / $3,303.00 / $3,963.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.44 / $2,892.44 / $2,892.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,806.00 / $6,534.12