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Sacral Nerve Stimulation Test Lead

Vermont rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated October 2026.

How much rates vary

Professionalmedian $68 · 10th to 90th $58 to $105
$50$100$200$500professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$104.71
Typical High
$162.18