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Montana rates for HCPCS 64561

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

Facilitymedian $1,096 · 10th–90th $513$1,6600%20%10th90th$1,096Professionalmedian $708 · 10th–90th $347$1,5140%10%10th90th$708$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
$7,413.10 / $7,413.10 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $707.95 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$389.05 / $1,412.54 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $478.63 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $524.81 / $1,513.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,230.27 / $1,479.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,230.27 / $1,479.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $776.25 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $588.84 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $1,548.82