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Georgia 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
$695.09 / $4,592.00 / $7,421.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,259.00 / $8,259.00 / $11,392.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.07 / $773.83 / $1,521.01
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$428.78 / $994.19 / $3,171.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.01 / $5,625.09 / $35,850.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.48 / $506.55 / $1,002.35
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$449.22 / $759.82 / $1,503.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.65 / $625.04 / $900.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.84 / $6,918.00 / $9,852.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.81 / $888.17 / $1,957.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.61 / $832.85 / $2,007.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,193.00 / $40,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.82 / $1,232.75 / $1,948.01