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Nebraska 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
$687.16 / $6,408.55 / $19,276.96
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,512.48 / $9,612.83 / $9,612.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.16 / $687.17 / $1,796.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$952.85 / $2,674.71 / $2,735.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,024.04 / $19,760.71 / $38,223.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.39 / $646.40 / $1,381.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,826.60 / $7,826.60 / $7,826.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.62 / $1,360.65 / $2,118.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.88 / $957.81 / $3,720.66
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,225.92 / $7,225.92 / $7,529.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.60 / $1,643.80 / $2,778.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.23 / $1,558.22 / $9,391.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.57 / $1,415.53 / $2,118.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.60 / $1,639.53 / $2,116.30