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Montana rates for HCPCS 64581

Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.61 / $1,031.61 / $1,031.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.34 / $700.35 / $1,253.14