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Maine 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
$0.94 / $281.52 / $8,144.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1,378.52 / $8,144.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,878.02 / $6,878.02 / $6,878.02