go back

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
$457.09 / $1,047.13 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $389.05 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $21,379.62 / $48,977.88