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Washington, DC rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,548.13 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $977.24 / $5,011.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $912.01 / $5,754.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,754.23 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $41,686.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,122.02 / $4,786.30