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Massachusetts rates for HCPCS 64575

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,238.72 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $7,413.10 / $60,255.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $645.65 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,918.31 / $47,863.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $7,413.10 / $60,255.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,244.36 / $42,657.95