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Tennessee 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
$582.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.94 / $435.75 / $2,730.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.89 / $320.69 / $3,190.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.24 / $466.47 / $3,004.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.25 / $3,747.25 / $15,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,619.80 / $14,708.64 / $17,318.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,098.00 / $8,273.00 / $33,296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.57 / $1,665.42 / $3,651.14