go back

Minnesota rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,202.26 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $831.76 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $12,589.25 / $30,199.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $2,630.27 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,709.64 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,818.38 / $9,549.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,128.31 / $16,218.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,818.38 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $2,238.72 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,235.94 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,332.54 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,659.59 / $6,025.60