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North Dakota rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,949.84 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $812.83 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,380.38 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $831.76 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,511.89 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $12,022.64 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,348.96 / $4,570.88