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Sacral Nerve Stimulation Test Lead

Massachusetts rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $56$3,6310%20%40%10th90th$58Professionalmedian $58 · 10th–90th $52$830%50%10th90th$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
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$87.10
Typical High
$275.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$63.10
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.13
Typical High
$28.18
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$8,511.38
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$104.71
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$87.10
Typical High
$275.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$63.10
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$63.10
Typical High
$104.71