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Virginia 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
$245.75 / $2,516.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.17 / $391.17 / $420.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.92 / $410.11 / $484.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.16 / $258.04 / $481.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.96 / $184.25 / $1,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,061.00 / $8,168.00 / $17,187.00