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Massachusetts rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Facilitymedian $58 · 10th–90th $58–$2750%50%90th$58Professionalmedian $58 · 10th–90th $58–$680%50%90th$58$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $87.10 / $275.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $63.10 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $75.86 / $186.21
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $93.33 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $63.10 / $104.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $87.10 / $275.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $63.10 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $63.10 / $104.71