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Mississippi 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
$416.87 / $1,047.13 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $21,877.62 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,120.11 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $9,332.54 / $18,620.87