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Iowa 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $12.66 / $204.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $286.80 / $330.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $128.60 / $198.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $156.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $150.16 / $150.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $51.90 / $56.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $108.01
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.46 / $22.10 / $22.10