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Nebraska 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
$106.40 / $112.00 / $112.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $95.16 / $109.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $104.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $150.16 / $150.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $51.90 / $56.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $104.86