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Oklahoma 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
$333.66 / $2,444.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.99 / $10,825.01 / $17,103.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,994.20 / $3,994.20 / $3,994.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.37 / $271.44 / $4,853.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $5,068.00 / $8,116.00