go back

Colorado 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
$902.23 / $3,189.00 / $8,734.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.78 / $326.35 / $2,870.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,236.00 / $29,798.00 / $64,376.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.85 / $452.48 / $733.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,383.62 / $8,383.62 / $26,408.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.48 / $428.94 / $3,264.27
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.96 / $344.81 / $2,912.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.50 / $1,352.25 / $3,659.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $14,823.00 / $31,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.61 / $2,196.91 / $4,238.16