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Georgia 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
$347.81 / $3,035.17 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.72 / $385.89 / $2,487.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,732.00 / $35,926.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.98 / $424.58 / $1,015.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.16 / $320.16 / $320.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $6,918.00 / $9,852.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.65 / $455.14 / $3,901.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.95 / $607.24 / $3,474.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,193.00 / $40,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.23 / $1,633.50 / $4,295.95