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Alaska rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Facilitymedian $63 · 10th–90th $58–$2000%20%40%10th90th$63Professionalmedian $58 · 10th–90th $58–$580%50%$58$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $100.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $107.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $204.17