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North Carolina rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Facilitymedian $65 · 10th–90th $58–$4,8980%20%40%10th90th$65Professionalmedian $58 · 10th–90th $58–$2950%50%90th$58$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $58.88 / $97.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $83.18 / $112.20
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $660.69 / $660.69