go back

Virginia rates for HCPCS E0764

Functional neuromuscular stimulation, transcutaneous stimulation of sequential muscle groups of ambulation with computer control, used for walking by spinal cord injured, entire system, after completion of training program

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,676.08 / $9,556.43 / $9,556.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,676.08 / $9,556.43 / $10,154.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,671.03 / $6,671.03 / $8,584.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,698.28 / $9,698.28 / $9,698.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,613.42 / $14,613.42 / $14,613.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,777.03 / $10,777.03 / $10,777.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,334.90 / $13,723.60 / $17,984.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.06 / $9,556.43 / $15,247.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.00 / $8,321.00 / $18,212.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.02 / $5,216.83 / $14,008.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.02 / $5,216.83 / $14,008.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,557.24 / $7,189.34 / $11,113.47