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Texas 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
$789.00 / $3,102.00 / $10,639.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,821.25 / $9,837.54 / $19,075.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.36 / $5,910.08 / $5,910.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.68 / $749.68 / $749.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.40 / $26,542.00 / $31,048.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.03 / $881.44 / $1,455.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.16 / $886.67 / $1,465.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,604.00 / $9,624.00 / $30,253.00