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North Carolina 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
$1,020.00 / $4,738.24 / $7,993.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,623.56 / $3,623.56 / $3,676.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $9,395.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.70 / $967.00 / $1,457.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.00 / $21,463.00 / $29,047.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.40 / $27,100.53 / $31,048.85