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Alaska rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $9,772.37 / $29,512.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,023.29 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $10,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,137.96 / $10,964.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,238.72 / $9,772.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,570.40 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,202.26 / $10,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,047.13 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,570.40 / $9,120.11