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Washington, DC 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
$1,017.00 / $2,346.55 / $4,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.20 / $326.20 / $2,346.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.85 / $339.82 / $9,067.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.10 / $433.44 / $6,253.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.12 / $5,080.88 / $5,080.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.45 / $1,875.26 / $6,013.84