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Connecticut 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
$478.63 / $4,570.88 / $7,244.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,302.69 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $5,754.40 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $8,511.38 / $11,748.98