go back

Arkansas rates for HCPCS 64561

Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.29 / $1,277.00 / $4,478.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,247.20 / $3,247.20 / $3,247.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.95 / $669.48 / $1,071.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$279.41 / $279.41 / $392.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,716.34 / $6,716.34 / $8,059.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.82 / $501.21 / $1,074.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,630.73 / $6,630.73 / $6,630.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.05 / $842.56 / $1,629.32
Qualchoice
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$464.95 / $464.95 / $464.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,334.00 / $8,676.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.66 / $997.35 / $1,585.28