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Missouri rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Facilitymedian $4,467 · 10th–90th $676–$19,4980%5%10th90th$4,467Professionalmedian $912 · 10th–90th $380–$3,4670%5%10th90th$912$100.0$500.0$2.0K$10.0K$50.0K

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
$616.60 / $3,890.45 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $933.25 / $3,467.37
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $10,471.29 / $40,738.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,513.56 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $12,302.69 / $21,877.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $794.33 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,089.30 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,019.95 / $16,982.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,011.87 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,479.11 / $2,951.21