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Iowa rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $3,235.94 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,000.00 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,137.96 / $6,606.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $2,089.30 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,311.31 / $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
$1,023.29 / $2,630.27 / $8,511.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,570.40 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,348.96 / $4,466.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,862.09 / $5,011.87