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Arizona rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,235.94 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $891.25 / $3,715.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,995.26 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,698.24 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $724.44 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,949.84 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,709.64 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,096.48 / $2,454.71