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Colorado 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
$1,393.30 / $5,428.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.47 / $631.37 / $1,090.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,481.63 / $1,481.63 / $1,481.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,236.00 / $29,798.00 / $64,376.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.05 / $427.05 / $680.13
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$419.33 / $559.04 / $977.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,473.41 / $7,473.41 / $23,541.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.91 / $832.87 / $1,488.60
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.07 / $638.01 / $1,643.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.36 / $716.06 / $1,249.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $14,823.00 / $31,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.76 / $1,253.89 / $1,836.43