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Minnesota 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
$125.89 / $234.42 / $3,162.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $3,235.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $457.09 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $6,760.83 / $10,000.00