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Nebraska 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
$1,506.15 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $1,601.29 / $3,503.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,024.04 / $19,760.71 / $38,223.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.10 / $722.95 / $4,003.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,779.83 / $8,779.83 / $8,779.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.20 / $3,004.00 / $6,076.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.42 / $567.45 / $3,816.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.00 / $2,780.73 / $7,877.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.20 / $3,944.26 / $10,535.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.91 / $805.48 / $5,033.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.63 / $3,408.19 / $5,082.24