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Delaware rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $2,344.23 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $891.25 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $741.31 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,000.00 / $2,238.72