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New Jersey rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,025.60 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $954.99 / $4,073.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $1,995.26 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,318.26 / $4,897.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,951.21 / $4,073.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $20,417.38 / $33,113.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,905.46 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,148.15 / $3,388.44