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North Dakota 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.01 / $246.66 / $272.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $17.62 / $20.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.23 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $98.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $69.91 / $139.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $69.91 / $139.81