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Rhode Island 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
$1,513.56 / $1,548.82 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $416.87 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $524.81 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $457.09 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $416.87 / $2,754.23