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Pennsylvania 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 / $73.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.86 / $104.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.67 / $57.67 / $73.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $58.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $51.90 / $56.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.24 / $104.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $63.55 / $115.35