go back

Michigan rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,951.21 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $912.01 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $3,467.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $954.99 / $3,311.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,884.03 / $9,772.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $933.25 / $3,467.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $707.95 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $9,549.93 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,148.15 / $2,344.23