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Massachusetts 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
$269.15 / $2,238.72 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $6,165.95 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $616.60
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $457.09 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $6,165.95 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18