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Kentucky 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
$100.60 / $332.77 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $2,114.00 / $3,352.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.63 / $297.63 / $351.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.59 / $391.17 / $391.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00