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California 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
$1,991.50 / $6,640.00 / $17,809.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,977.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $20,659.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,200.00 / $10,750.23 / $19,254.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.29 / $721.59 / $7,674.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.83 / $828.18 / $1,484.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.40 / $26,542.00 / $31,048.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.44 / $851.63 / $1,165.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,444.00 / $16,173.00 / $42,098.00