go back

New Mexico 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
$636.58 / $7,838.38 / $8,763.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,456.07 / $30,290.80 / $47,004.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.28 / $954.23 / $1,182.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.00 / $21,608.00 / $23,542.00