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Maryland 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
$5,938.30 / $5,938.30 / $5,938.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $2,339.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.55 / $443.90 / $562.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.88 / $588.00 / $6,878.02