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Sacral Nerve Stimulation Test Lead

Nebraska rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

Facilitymedian $87 · 10th–90th $58$1100%20%40%10th90th$87Professionalmedian $58 · 10th–90th $58$630%50%90th$58$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
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$109.65
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$104.71