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Georgia rates for HCPCS 64561

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

Facilitymedian $4,571 · 10th–90th $1,175$11,4820%10%10th90th$4,571Professionalmedian $741 · 10th–90th $309$1,8200%10%10th90th$741$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $4,570.88 / $7,943.28
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,570.88 / $8,317.64 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $691.83 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$616.60 / $1,000.00 / $3,162.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$588.84 / $1,479.11 / $1,995.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $4,265.80 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$616.60 / $912.01 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $7,244.36 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $851.14 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $851.14 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $7,079.46 / $19,952.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $724.44 / $1,778.28