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Missouri rates for HCPCS 64561

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

Facilitymedian $4,266 · 10th–90th $575$14,7910%5%10th90th$4,266Professionalmedian $692 · 10th–90th $302$2,1380%5%10th90th$692$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
$457.09 / $3,715.35 / $17,378.01
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,905.46 / $5,248.07 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $660.69 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $1,148.15 / $3,090.30
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,897.79 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $457.09 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$467.74 / $676.08 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $724.44 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $12,302.69 / $21,877.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $676.08 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $891.25 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,445.44 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,570.88 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $660.69 / $1,412.54