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Washington rates for HCPCS 64553

Percutaneous implantation of neurostimulator electrode array; cranial nerve

Facilitymedian $1,445 · 10th–90th $219–$18,6210%5%10th90th$1,445Professionalmedian $851 · 10th–90th $195–$7,2440%5%10%10th90th$851$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $4,570.88 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $831.76 / $6,456.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $35,481.34 / $74,131.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $2,454.71 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $562.34 / $25,703.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $1,122.02 / $9,120.11
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $588.84 / $14,791.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $616.60 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $257.04
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $3,890.45 / $7,413.10
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,248.07 / $7,244.36
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $4,786.30 / $7,943.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $36,307.81 / $74,131.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $2,454.71 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $32,359.37 / $63,095.73
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $602.56 / $5,011.87
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $912.01 / $7,079.46