go back

Kansas 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
$487.00 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.64 / $535.33 / $3,503.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.47 / $960.69 / $4,808.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.49 / $331.17 / $698.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.27 / $423.01 / $3,220.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.14 / $546.04 / $6,969.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.22 / $2,222.59 / $15,677.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $34,727.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.53 / $2,129.98 / $3,256.68