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Massachusetts rates for HCPCS A4290

Sacral Nerve Stimulation Test Lead Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $100.00 / $277.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $62.92 / $114.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $75.84 / $84.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $71.31 / $83.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $62.92 / $165.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $77.43 / $157.29