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Michigan 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
$840.26 / $4,112.00 / $7,947.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,943.39 / $18,712.86 / $25,352.95
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.50 / $3,468.30 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,356.00 / $12,544.00 / $31,629.00