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Indiana 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
$305.82 / $2,009.30 / $7,070.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.71 / $414.52 / $2,298.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $21,900.00 / $47,628.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.63 / $198.98 / $298.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.20 / $387.66 / $2,602.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.58 / $2,206.30 / $2,757.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,844.31 / $7,844.31 / $9,298.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.07 / $336.41 / $2,461.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,649.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.68 / $1,537.42 / $3,151.70