go back

North Dakota 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
$341.52 / $1,907.09 / $2,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.84 / $341.52 / $2,242.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.03 / $834.78 / $5,212.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.83 / $1,063.38 / $6,687.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.19 / $553.46 / $3,560.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.39 / $1,921.77 / $7,877.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.82 / $2,113.94 / $4,227.89