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Arkansas rates for HCPCS 64555

Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.84 / $1,064.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.90 / $323.86 / $2,060.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.30 / $557.79 / $2,158.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,630.73 / $6,630.73 / $6,630.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.50 / $522.16 / $3,224.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $3,635.00 / $8,676.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.17 / $1,729.59 / $3,557.82