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Delaware 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
$314.18 / $590.14 / $7,163.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,718.31 / $2,718.31 / $2,718.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,131.99 / $6,131.99 / $15,633.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00