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Maine rates for HCPCS 64555

Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

Facilitymedian $12,882 · 10th–90th $12,882–$12,8820%50%100%$12,882Professionalmedian $457 · 10th–90th $174–$3,3880%5%10th90th$457$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $426.58 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $616.60 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,047.13 / $4,466.84
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $380.19 / $2,818.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $457.09 / $4,265.80