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Oklahoma 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
$882.00 / $3,683.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.50 / $467.82 / $1,946.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.30 / $2,031.05 / $2,788.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,436.03 / $9,436.03 / $9,436.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $349.68 / $2,398.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.95 / $1,100.00 / $10,182.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.14 / $1,756.58 / $15,677.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,307.00 / $14,587.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $1,633.50 / $2,825.00