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Sacral Nerve Stimulation Test Lead

North Carolina rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $58$8,1280%20%40%10th90th$63Professionalmedian $58 · 10th–90th $58$2950%50%90th$58$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$7,585.78
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$316.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$104.71
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$660.69
Typical High
$660.69