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New Hampshire rates for HCPCS 64561

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

Facilitymedian $8,128 · 10th–90th $1,585$38,0190%10%10th90th$8,128Professionalmedian $813 · 10th–90th $347$1,6220%10%10th90th$813$100.0$500.0$2.0K$10.0K$50.0K

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
$1,584.89 / $4,265.80 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $812.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$851.14 / $891.25 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $42,657.95 / $66,069.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $602.56 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$407.38 / $891.25 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $831.76 / $2,041.74
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $831.76 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $812.83 / $2,041.74
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $933.25
Well Sense
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99