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Massachusetts 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
$1,758.00 / $2,747.00 / $4,712.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.26 / $6,096.00 / $26,542.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.02 / $1,371.80 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,793.01 / $2,941.55 / $3,217.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $31,048.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $20,362.00