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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
$988.00 / $2,094.00 / $3,685.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.89 / $6,096.00 / $45,973.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.18 / $678.56 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $6,474.00 / $54,918.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $20,362.00