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Missouri 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
$228.96 / $2,782.00 / $8,118.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $5,295.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.32 / $287.32 / $3,693.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,034.00 / $5,740.00