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Hawaii rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $630.96 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $2,454.71 / $3,467.37
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $3,981.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $2,754.23 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,862.09 / $3,019.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,089.30 / $5,370.32