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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.10 / $510.43 / $5,402.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,026.79 / $7,026.79 / $7,046.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.06 / $605.48 / $3,685.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.58 / $542.16 / $5,672.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.58 / $793.30 / $3,976.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,810.38 / $3,173.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,328.80 / $17,085.84 / $22,023.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.32 / $2,301.44 / $4,513.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $163,191.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.38 / $424.13 / $3,401.53