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Michigan rates for HCPCS 64555

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

Facilitymedian $4,898 · 10th–90th $2,042–$8,3180%20%10th90th$4,898Professionalmedian $437 · 10th–90th $178–$2,6300%5%10%10th90th$437$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $446.68 / $2,630.27
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $691.83 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $436.52 / $2,951.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,041.74 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $467.74 / $3,235.94
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $436.52 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $9,120.11 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $2,187.76