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Kansas 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
$1,456.00 / $4,376.00 / $12,154.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,437.08 / $3,117.83 / $4,586.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $8,996.00 / $8,996.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.16 / $1,208.90 / $15,898.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.00 / $8,000.00 / $17,483.00