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Sacral Nerve Stimulation Test Lead

Hawaii rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

How much rates vary

Professionalmedian $58 · 10th to 90th $58 to $58
$50.0$100.0$200.0professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$117.49