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Michigan rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Facilitymedian $58 · 10th–90th $22$2570%50%10th90th$58Professionalmedian $58 · 10th–90th $23$580%50%10th$58$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $22.91 / $22.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $154.88 / $389.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $177.83
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $83.18 / $131.83