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Alaska rates for HCPCS 64561

Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed

Facilitymedian $1,380 · 10th–90th $331–$4,6770%5%10%10th90th$1,380Professionalmedian $891 · 10th–90th $309–$2,9510%5%10%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $10,715.19 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $758.58 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$616.60 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $776.25 / $2,290.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,071.52 / $3,311.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,412.54 / $3,235.94
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $4,677.35
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,754.23 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,047.13 / $2,754.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $691.83 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $1,318.26 / $3,715.35