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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
$316.23 / $1,096.48 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $389.05 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $21,379.62 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $77,624.71 / $77,624.71