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Maine 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.37 / $89.00 / $89.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $152.05