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South 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
$267.89 / $4,440.79 / $10,264.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.94 / $7,533.12 / $13,582.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $391.17 / $4,050.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.68 / $276.81 / $680.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.36 / $12,189.00 / $19,665.00