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New Mexico 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
$310.01 / $2,145.78 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.53 / $1,764.93 / $2,096.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.00 / $364.02 / $476.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,542.00