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New Jersey 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
$159.78 / $3,384.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.10 / $241.88 / $2,217.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.76 / $527.12 / $3,992.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.45 / $2,629.07 / $3,345.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,301.37 / $15,955.73 / $32,405.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.94 / $571.29 / $2,840.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.54 / $2,330.81 / $5,235.93