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Texas 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
$352.00 / $2,017.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,676.22 / $4,943.14 / $10,232.62
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.89 / $1,267.26 / $2,291.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.54 / $3,993.54 / $3,993.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.17 / $391.17 / $391.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.04 / $11,500.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $291.50 / $577.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.88 / $294.18 / $581.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $5,125.00 / $10,476.00