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Wisconsin rates for HCPCS 64581

Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)

Facilitymedian $15,136 · 10th–90th $1,950–$26,3030%10%10th90th$15,136Professionalmedian $1,413 · 10th–90th $933–$2,1380%10%10th90th$1,413$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $6,918.31 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $16,982.44 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,949.84 / $3,311.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,288.25 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,348.96 / $19,498.45
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $12,882.50 / $27,542.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,412.54 / $2,041.74
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $30,902.95 / $30,902.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $16,982.44 / $22,387.21