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Missouri 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
$818.00 / $2,782.00 / $8,118.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.27 / $594.59 / $2,295.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $6,085.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.08 / $216.30 / $538.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.36 / $441.98 / $3,078.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.43 / $659.05 / $5,187.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.56 / $2,853.00 / $15,677.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $5,048.00 / $46,908.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.24 / $2,306.12 / $3,919.43