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Tennessee rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,454.71 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $891.25 / $3,311.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,230.27 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $912.01 / $3,235.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,174.90 / $2,884.03