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Wyoming rates for HCPCS 64561

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.47 / $453.13 / $1,038.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,846.40 / $5,846.40 / $5,846.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.00 / $979.00 / $2,377.00
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$912.00 / $1,762.50 / $3,565.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.52 / $1,084.77 / $1,893.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.15 / $1,671.85 / $3,688.08