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North Carolina 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
$313.14 / $689.00 / $7,362.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,623.56 / $3,623.56 / $3,676.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $17,030.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.14 / $360.11 / $595.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.85 / $49,126.08 / $77,786.45