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Oklahoma 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
$1,150.00 / $3,779.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,666.79 / $13,768.47 / $21,754.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,824.79 / $8,824.79 / $8,824.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.66 / $1,052.08 / $20,190.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,423.23