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Sacral Nerve Stimulation Test Lead

Hawaii rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated October 2026.

How much rates vary

Professionalmedian $78 · 10th to 90th $58 to $102
$50$100$200professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$102.33