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Delaware 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
$747.81 / $4,730.26 / $111,157.36
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,602.49 / $13,602.49 / $13,602.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.98 / $728.66 / $1,059.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,388.24 / $1,388.24 / $1,388.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,724.61 / $5,724.61 / $5,724.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.63 / $554.80 / $1,462.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,622.60 / $5,622.60 / $6,356.83
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,469.26 / $6,469.26 / $15,124.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.20 / $311.20 / $311.20
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$466.80 / $466.80 / $466.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.00 / $2,783.00 / $2,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.33 / $1,128.74 / $1,712.98