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Missouri 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
$1,110.00 / $3,907.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,286.00 / $10,043.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $10,223.00 / $15,638.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.47 / $1,099.83 / $19,577.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,285.00 / $19,082.00