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North Carolina 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
$123.28 / $3,324.49 / $5,177.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $4,252.29
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.28 / $238.08 / $608.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.66 / $8,541.00 / $13,997.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.04 / $1,577.04 / $12,000.00