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Sacral Nerve Stimulation Test Lead

New Hampshire rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $58$980%50%90th$58Professionalmedian $63 · 10th–90th $58$890%20%40%10th90th$63$20.0$50.0$100.0

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
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$89.13
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$134.90