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Virginia rates for HCPCS 63650

Prq Impltj Nstim Electrode Array Epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.09 / $3,645.00 / $14,187.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$83.12 / $269.20 / $499.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.36 / $753.09 / $2,914.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,208.00 / $62,509.00 / $67,760.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.70 / $488.11 / $814.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.13 / $489.38 / $4,117.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.51 / $705.51 / $1,700.00
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.10 / $141.10 / $141.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.94 / $766.47 / $3,588.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.10 / $2,754.02 / $3,254.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.88 / $757.81 / $3,058.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.00 / $1,620.00 / $3,507.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.71 / $546.80 / $1,991.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.55 / $2,198.58 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $34,314.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.86 / $2,053.87 / $3,784.72