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Virginia rates for HCPCS 64561

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

Facilitymedian $1,995 · 10th–90th $372$14,7910%5%10th90th$1,995Professionalmedian $676 · 10th–90th $302$1,5850%5%10th90th$676$100.0$500.0$2.0K$10.0K$50.0K

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
$537.03 / $3,630.78 / $13,182.57
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $691.83 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$281.84 / $1,202.26 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $64,565.42 / $70,794.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$446.68 / $660.69 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $407.38 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $724.44 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $1,096.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,862.09 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $691.83 / $1,548.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,202.26 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,882.50 / $37,153.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $616.60 / $1,584.89