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Missouri rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $3,890.45 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $933.25 / $3,715.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $524.81 / $2,630.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $10,471.29 / $40,738.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,513.56 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $12,302.69 / $21,877.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $831.76 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,041.74 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,951.21 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,897.79 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,445.44 / $3,090.30