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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.49 / $323.86 / $2,229.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,421.83 / $6,421.83 / $6,421.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.85 / $253.25 / $1,776.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.54 / $1,886.54 / $1,886.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.90 / $286.05 / $4,237.47