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New Jersey 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
$3,311.31 / $5,888.44 / $11,220.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $39,810.72 / $57,543.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $10,715.19 / $29,512.09