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Rhode Island 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
$2,424.15 / $3,706.14 / $23,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.95 / $622.66 / $1,364.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.27 / $718.93 / $1,135.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.89 / $626.65 / $1,706.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,713.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.88 / $1,186.65 / $2,039.75