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Colorado 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
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.81 / $139.81 / $139.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $89.00 / $89.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.73 / $12.86
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $96.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $472.00 / $472.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $104.86