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New York 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
$198.44 / $2,465.00 / $8,699.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $12,164.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.08 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.17 / $391.17 / $391.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.82 / $319.00 / $597.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.74 / $312.74 / $312.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.00 / $3,402.75 / $4,273.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.17 / $555.00 / $49,110.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.00 / $4,893.00 / $10,315.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.13 / $267.13 / $676.28