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North Dakota 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
$126.72 / $3,167.27 / $3,167.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $384.28 / $574.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,667.00 / $8,667.00 / $8,667.00