go back

Wisconsin rates for HCPCS 64555

Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

Facilitymedian $14,791 · 10th–90th $1,660–$25,1190%10%10th90th$14,791Professionalmedian $741 · 10th–90th $282–$5,1290%5%10%10th90th$741$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,905.46 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $467.74 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $16,982.44 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $741.31 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,445.44 / $9,772.37
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $1,905.46 / $4,265.80
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,000.00 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $2,041.74 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $2,630.27 / $15,848.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $194.98
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $10,715.19 / $17,378.01
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,513.56 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $2,454.71 / $7,244.36
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $33,113.11 / $33,113.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $9,120.11 / $14,791.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $8,128.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,862.09 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $13,803.84 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $645.65 / $5,495.41