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Delaware 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
$4,736.00 / $6,907.00 / $10,473.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,005.84 / $6,005.84 / $6,005.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,170.00 / $5,170.00 / $5,170.00