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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $89.13 / $110.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $78.42 / $129.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $115.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $104.86