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Alaska rates for HCPCS 64561

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.35 / $9,577.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.76 / $925.50 / $3,334.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,388.24 / $1,388.24 / $1,388.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.16 / $1,286.49 / $3,212.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.62 / $1,537.19 / $4,667.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.08 / $1,743.61 / $4,174.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.25 / $1,776.75 / $4,501.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.62 / $1,821.68 / $4,667.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.16 / $1,740.00 / $4,501.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.90 / $2,793.79 / $4,213.07