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Indiana rates for HCPCS 64561

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

Facilitymedian $11,220 · 10th–90th $437$46,7740%5%10th90th$11,220Professionalmedian $692 · 10th–90th $288$2,0420%5%10%10th90th$692$200.0$1.0K$5.0K$20.0K

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
$338.84 / $1,047.13 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $691.83 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$660.69 / $1,318.26 / $4,677.35
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $35,481.34 / $52,480.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$416.87 / $537.03 / $870.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $741.31 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,220.18 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $645.65 / $1,445.44