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Michigan rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Facilitymedian $3,020 · 10th–90th $550–$12,5890%20%10th90th$3,020Professionalmedian $813 · 10th–90th $380–$3,2360%5%10th90th$813$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,951.21 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $891.25 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $2,137.96 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $616.60 / $3,467.37
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,949.84 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $724.44 / $2,754.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,884.03 / $7,413.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $977.24 / $3,630.78
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $724.44 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $9,120.11 / $16,982.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,202.26 / $2,344.23