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New Mexico 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
$229.58 / $2,145.78 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.57 / $11,052.94 / $17,151.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.16 / $252.78 / $612.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,602.00 / $9,127.00 / $10,150.00