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North Carolina rates for HCPCS 64561

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.06 / $4,204.30 / $9,345.26
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,887.52 / $6,384.00 / $6,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.98 / $735.66 / $1,512.66
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$814.25 / $1,419.14 / $2,339.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.94 / $1,347.35 / $2,313.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $8,955.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.09 / $856.38 / $1,933.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.98 / $862.85 / $1,868.91
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,006.76 / $1,549.50 / $2,493.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.00 / $1,019.00 / $1,336.33
Medcost
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,004.50 / $2,004.50 / $2,004.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $947.30 / $2,444.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.66 / $1,178.93 / $1,964.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.54 / $2,067.54 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,703.80 / $7,831.06 / $8,263.84