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Kentucky 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
$252.93 / $988.00 / $3,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.58 / $310.20 / $2,142.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.53 / $125.45 / $238.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.52 / $422.72 / $498.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.94 / $425.74 / $2,721.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.55 / $555.57 / $555.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.74 / $295.52 / $2,562.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $57.10 / $1,943.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $20,161.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.64 / $1,537.42 / $3,042.30