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Tennessee 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 / $604.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.79 / $153.79 / $153.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $22.90 / $170.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $117.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.28 / $634.28 / $659.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $83.89 / $90.88