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Texas rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Facilitymedian $3,715 · 10th–90th $708$12,8820%5%10%10th90th$3,715Professionalmedian $891 · 10th–90th $372$3,0900%10%10th90th$891$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $812.83 / $3,090.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $776.25 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $9,332.54 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $1,584.89 / $2,754.23
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $7,079.46 / $9,332.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $467.74
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $758.58 / $2,884.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,848.93 / $18,620.87 / $18,620.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,148.15 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,000.00 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $346.74
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $707.95 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $758.58 / $3,090.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $6,918.31 / $15,848.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,023.29 / $2,290.87
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,344.23 / $2,398.83