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Connecticut rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,248.07 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,047.13 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,378.01 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $912.01 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $5,248.07
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $7,079.46
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $11,220.18 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,318.26 / $4,786.30