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Texas rates for HCPCS 64561

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

Facilitymedian $3,548 · 10th–90th $676$13,8040%5%10%10th90th$3,548Professionalmedian $646 · 10th–90th $282$1,3800%10%10th90th$646$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$794.33 / $3,235.94 / $12,022.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,949.84 / $12,302.69 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $660.69 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$436.52 / $1,202.26 / $2,691.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$398.11 / $398.11 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $524.81 / $831.76
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $5,011.87 / $16,982.44
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $338.84 / $794.33
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $724.44 / $1,513.56
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $8,317.64
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $891.25 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,949.84 / $12,302.69 / $14,125.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $691.83 / $1,380.38
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$426.58 / $1,071.52 / $2,691.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $616.60
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $724.44 / $1,737.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $707.95 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $7,079.46 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $616.60 / $1,288.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $741.31 / $741.31