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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
$295.12 / $758.58 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $758.58 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$870.96 / $1,258.93 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $933.25 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $758.58 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,412.54 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $12,022.64 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $776.25 / $1,659.59