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Tennessee 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
$891.25 / $2,454.71 / $6,456.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $676.08 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$281.84 / $891.25 / $3,890.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $812.83
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$478.63 / $616.60 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $933.25 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $707.95 / $1,513.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $29,512.09 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $8,709.64 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $676.08 / $1,479.11