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North Dakota 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
$304.24 / $3,738.29 / $3,738.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.95 / $705.80 / $1,109.66
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,388.24 / $1,388.24 / $1,388.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.69 / $1,053.33 / $1,815.82
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$896.54 / $1,272.06 / $2,723.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.25 / $928.14 / $1,903.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.24 / $517.21 / $1,289.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.96 / $1,494.77 / $2,778.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.87 / $1,411.73 / $1,695.91