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Sacral Nerve Stimulation Test Lead

Washington rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Rates data updated July 2026.

Facilitymedian $58 · 10th–90th $58$1380%20%40%90th$58Professionalmedian $58 · 10th–90th $58$630%50%90th$58$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$104.71
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$104.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$323.59
Typical High
$562.34