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Washington rates for HCPCS 64561

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

Facilitymedian $1,738 · 10th–90th $525$21,8780%5%10th90th$1,738Professionalmedian $776 · 10th–90th $355$1,9500%10%10th90th$776$20.0$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
$676.08 / $7,244.36 / $21,877.62
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,302.69 / $17,378.01 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $724.44 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$512.86 / $1,230.27 / $2,344.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $18,197.01 / $37,153.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$20,417.38 / $27,542.29 / $56,234.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $891.25 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $870.96 / $14,791.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $851.14 / $2,041.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $977.24 / $8,912.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$16,595.87 / $28,840.32 / $52,480.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $933.25 / $2,398.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $263.03
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,412.54 / $1,548.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,023.29 / $3,388.44
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $1,000.00 / $1,778.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $19,054.61 / $37,153.52
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$19,054.61 / $28,183.83 / $56,234.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $891.25 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $19,054.61 / $36,307.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $831.76 / $1,737.80
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $549.54 / $1,071.52