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North Carolina 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
$221.56 / $2,170.36 / $8,907.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.45 / $507.11 / $3,046.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,092.08 / $3,092.08 / $3,137.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.22 / $351.23 / $2,899.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $10,045.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.76 / $392.02 / $3,274.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.00 / $325.55 / $2,531.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.07 / $261.00 / $2,639.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $533.00 / $2,768.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.92 / $1,464.76 / $3,759.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.25 / $3,747.25 / $15,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,619.80 / $14,708.64 / $17,318.93