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Rhode Island 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
Facility
Modifier
Low / Median / High Price
$104.86 / $204.81 / $236.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.86 / $170.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $83.89 / $104.86