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Alaska rates for HCPCS 64581

Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.01 / $3,236.00 / $4,530.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.01 / $3,236.00 / $4,530.39