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Oklahoma rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,570.40 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,000.00 / $3,715.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,882.50 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $2,089.30 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $660.69 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,137.96 / $11,748.98
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
$1,258.93 / $1,995.26 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,762.47 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,023.29 / $2,137.96