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Idaho rates for HCPCS 64561

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

Facilitymedian $2,884 · 10th–90th $589$20,8930%5%10th90th$2,884Professionalmedian $759 · 10th–90th $372$1,7380%10%10th90th$759$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$891.25 / $2,884.03 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $741.31 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$436.52 / $1,412.54 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,244.36 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $10,471.29 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,071.52 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$831.76 / $1,778.28 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $831.76 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $954.99 / $1,819.70
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$436.52 / $512.86 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $15,488.17 / $22,908.68
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$18,620.87 / $25,703.96 / $34,673.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,047.13 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $691.83 / $10,471.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $12,882.50 / $165,958.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $758.58 / $1,479.11