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Indiana 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
$118.68 / $1,386.00 / $7,954.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $13,758.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.76 / $271.39 / $448.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.43 / $3,320.43 / $3,936.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.11 / $7,672.00 / $12,569.00