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New Hampshire rates for HCPCS 64555

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

Facilitymedian $2,399 · 10th–90th $562–$66,0690%10%10th90th$2,399Professionalmedian $617 · 10th–90th $224–$4,5710%5%10th90th$617$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
$562.34 / $1,819.70 / $100,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $389.05 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $42,657.95 / $66,069.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $645.65 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $794.33 / $5,248.07
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,202.26 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $794.33 / $5,248.07
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $2,754.23