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Arizona 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
$585.00 / $2,276.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.01 / $323.60 / $4,398.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,932.30 / $4,465.00 / $7,217.00