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New Mexico rates for HCPCS 64561

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

Facilitymedian $6,026 · 10th–90th $427–$23,4420%5%10%10th90th$6,026Professionalmedian $692 · 10th–90th $295–$1,3490%5%10%10th90th$692$50.0$200.0$1.0K$5.0K$20.0K

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
$426.58 / $6,025.60 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $691.83 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$436.52 / $2,951.21 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $22,908.68 / $36,307.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $741.31 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $758.58 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $616.60 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $758.58 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $12,882.50 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $851.14 / $1,698.24