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Louisiana 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
$331.05 / $1,230.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,326.08 / $6,913.21 / $12,095.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.54 / $3,993.54 / $3,993.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,602.00 / $11,347.00