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Alaska rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Facilitymedian $2,188 · 10th–90th $468–$13,8040%5%10th90th$2,188Professionalmedian $1,479 · 10th–90th $407–$6,0260%5%10%10th90th$1,479$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $9,772.37 / $29,512.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,122.02 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $1,412.54 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $2,041.74 / $10,000.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $2,238.72 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $6,025.60 / $9,120.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,380.38 / $10,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,047.13 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,995.26 / $9,120.11