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Arizona 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
$1,965.00 / $4,094.00 / $7,467.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.22 / $861.02 / $21,069.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.00 / $14,308.00 / $23,087.00