go back

New Jersey 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 / $58.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $12.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.25 / $325.00 / $325.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $62.92 / $93.87