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Massachusetts 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
$227.12 / $2,094.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.78 / $281.27 / $2,471.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.74 / $5,097.00 / $15,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.27 / $2,500.57 / $14,708.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.17 / $485.95 / $966.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.79 / $2,102.21 / $5,595.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.91 / $811.37 / $5,381.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $517.16 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.80 / $2,933.97 / $4,126.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.00 / $2,139.79 / $6,049.31
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.91 / $1,957.91 / $9,755.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $15,421.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.72 / $3,713.77 / $14,708.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $15,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.39 / $2,701.00 / $6,292.63