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Hawaii rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $78.52 / $204.48