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Arkansas 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
$825.95 / $1,397.00 / $4,478.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,716.34 / $6,716.34 / $8,059.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,730.42 / $8,730.42 / $8,730.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.00 / $5,064.00 / $12,000.00