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Tennessee 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
$1,268.02 / $4,088.45 / $7,540.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,486.00 / $9,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.40 / $26,542.00 / $31,048.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $10,986.00 / $19,007.00