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West Virginia rates for HCPCS 64561

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

Facilitymedian $4,571 · 10th–90th $661–$7,2440%20%10th90th$4,571Professionalmedian $631 · 10th–90th $269–$1,4450%20%10th90th$631$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$660.69 / $4,570.88 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $630.96 / $954.99
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $389.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $758.58 / $5,011.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $14,454.40 / $41,686.94
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $562.34 / $1,698.24