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Kansas rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,786.30 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $933.25 / $3,715.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,309.57 / $6,606.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $8,912.51 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $891.25 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $2,137.96 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,290.87 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,623.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,445.44 / $2,570.40