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Ohio 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
$1,031.39 / $5,608.16 / $10,817.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.00 / $8,010.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.36 / $739.61 / $925.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.68 / $749.68 / $3,542.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,873.00 / $10,707.00 / $16,745.00