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New York rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $5,128.61 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $891.25 / $3,715.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $2,041.74 / $2,290.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $43,651.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,454.71 / $3,890.45
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,659.59 / $7,244.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $977.24 / $1,584.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,801.89 / $5,495.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $2,754.23 / $4,786.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $8,317.64
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $2,630.27 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $8,128.31 / $36,307.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,445.44 / $4,073.80
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $478.63 / $1,862.09
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $2,398.83 / $4,570.88