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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.57 / $4,553.99 / $7,277.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.24 / $634.00 / $1,125.65
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,322.69 / $2,322.69 / $2,322.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.70 / $389.76 / $536.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.45 / $346.45 / $389.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.84 / $515.84 / $515.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.24 / $758.66 / $2,125.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,716.55 / $14,346.58 / $30,852.76
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$18,533.43 / $18,533.43 / $28,693.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.40 / $1,003.33 / $2,055.58