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New Mexico 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
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.72 / $507.11 / $2,870.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,643.82 / $24,361.54 / $39,696.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.55 / $389.87 / $2,404.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.95 / $283.62 / $2,809.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $344.77 / $2,979.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $249.46 / $1,747.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.88 / $329.87 / $3,799.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $15,131.00 / $21,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.06 / $395.29 / $3,354.76