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Wyoming rates for HCPCS 64555

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.86 / $423.57 / $2,322.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,846.40 / $5,846.40 / $5,846.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $1,046.00 / $6,880.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $658.09 / $4,492.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.96 / $2,609.23 / $5,765.31