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Idaho rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,495.41 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,096.48 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $7,762.47 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $3,019.95 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $758.58 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,122.02 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,202.26 / $4,786.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $15,488.17 / $22,908.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $4,786.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $2,187.76 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $11,748.98 / $165,958.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,023.29 / $2,884.03