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West Virginia 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
$1,200.00 / $2,920.11 / $2,920.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.46 / $347.45 / $2,346.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.48 / $416.93 / $574.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.61 / $370.61 / $1,076.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $555.57 / $555.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.33 / $419.48 / $2,738.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,163.44 / $17,105.00 / $22,581.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.91 / $341.81 / $2,710.92