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Oklahoma 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
$105.00 / $105.00 / $105.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $70.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $104.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $104.86