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Nebraska 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
$4,083.97 / $8,042.03 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,024.04 / $19,760.71 / $38,223.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,211.09 / $8,211.09 / $8,211.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.16 / $1,126.11 / $9,715.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,619.48 / $10,445.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00