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Arizona 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
$1,170.00 / $2,640.00 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.10 / $464.94 / $3,502.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.42 / $996.08 / $1,629.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.84 / $393.34 / $2,809.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.54 / $581.90 / $8,405.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.40 / $1,757.25 / $15,677.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.00 / $9,437.00 / $22,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.25 / $370.80 / $3,524.10