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Michigan rates for HCPCS 64561

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

Facilitymedian $4,898 · 10th–90th $398–$14,4540%10%20%10th90th$4,898Professionalmedian $708 · 10th–90th $295–$1,5140%10%10th90th$708$0.5$5.0$50.0$500.0$5.0K$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
$398.11 / $4,073.80 / $14,454.40
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $691.83 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $1,047.13 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $676.08 / $676.08
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$724.44 / $831.76 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $645.65 / $1,258.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $4,073.80 / $16,218.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $870.96 / $1,445.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$707.95 / $1,047.13 / $2,344.23
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $537.03 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $9,120.11 / $25,703.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $660.69 / $1,318.26