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Nebraska rates for HCPCS 64561

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

Facilitymedian $6,457 · 10th–90th $692$14,4540%10%10th90th$6,457Professionalmedian $724 · 10th–90th $316$2,2910%10%10th90th$724$100.0$500.0$2.0K$10.0K

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
$1,513.56 / $6,456.54 / $12,589.25
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,513.56 / $9,549.93 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $691.83 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$891.25 / $1,230.27 / $2,754.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$426.58 / $426.58 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $19,498.45 / $38,018.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $645.65 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,348.96 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,122.02 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $8,317.64
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,348.96 / $2,137.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $933.25 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $8,128.31 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $851.14 / $1,862.09