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New York 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
$443.14 / $3,659.00 / $11,996.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,318.90 / $9,318.90 / $13,110.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.54 / $735.66 / $1,575.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$634.12 / $1,312.53 / $1,629.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $9,901.00 / $35,881.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.00 / $802.92 / $1,923.39
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$849.92 / $1,204.38 / $2,899.03
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.73 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.73 / $428.73 / $1,095.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.84 / $515.84 / $515.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.97 / $918.00 / $2,423.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.44 / $431.00 / $777.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.85 / $1,081.54 / $1,746.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.14 / $661.14 / $661.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.85 / $910.39 / $1,541.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,013.94 / $6,841.31 / $12,184.94
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,703.25 / $6,703.25 / $7,073.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.84 / $555.00 / $49,110.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.53 / $979.74 / $2,517.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,762.00 / $16,961.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.20 / $1,027.63 / $2,398.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.17 / $352.17 / $1,708.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.14 / $921.36 / $1,541.02