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Louisiana rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,290.87 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,047.13 / $3,162.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,698.24 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $10,964.78 / $15,488.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $776.25 / $3,467.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $707.95 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,456.54 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,122.02 / $2,691.53