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Kentucky rates for HCPCS A4290

Sacral Nerve Stimulation Test Lead Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.05 / $57.67 / $57.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.65 / $89.00 / $111.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.13 / $257.13 / $257.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.47 / $211.22 / $257.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $117.00 / $117.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $111.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $83.89 / $118.84