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Rhode Island rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,174.90 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,548.82 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $7,762.47 / $13,489.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,258.93 / $3,548.13