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Utah 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
$187.54 / $2,922.00 / $4,387.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,251.88 / $6,548.64 / $9,401.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $6,097.00 / $8,267.00