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Nebraska rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $851.14 / $5,623.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $18,620.87 / $38,018.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,862.09 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,621.81 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $2,137.96 / $8,128.31
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 / $3,467.37 / $16,982.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $3,715.35 / $5,248.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,128.31 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,659.59 / $4,677.35