go back

Arkansas rates for HCPCS A4290

Sacral Nerve Stimulation Test Lead Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $519,999.48 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.30 / $89.13 / $94.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $70.56 / $76.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $104.86