go back

Wyoming rates for HCPCS A4290

Sacral nerve stimulation test lead, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.67 / $57.67 / $57.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.12 / $152.12 / $152.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $62.92 / $62.92