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Massachusetts rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,884.03 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $891.25 / $3,467.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $7,413.10 / $28,840.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,737.80 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $2,754.23 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,047.13 / $5,248.07
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $812.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $4,365.16
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $14,791.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,949.84 / $6,165.95
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,090.30 / $7,943.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $7,413.10 / $28,840.32
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,737.80 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,479.11 / $5,754.40