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Virginia rates for HCPCS 64575

Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

Facilitymedian $2,042 · 10th–90th $316–$19,9530%5%10th90th$2,042Professionalmedian $389 · 10th–90th $282–$5620%20%10th90th$389$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $2,818.38 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $64,565.42 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $616.60
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $407.38 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $21,877.62 / $41,686.94