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Wisconsin rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Facilitymedian $14,454 · 10th–90th $1,778$22,3870%10%10th90th$14,454Professionalmedian $1,479 · 10th–90th $407$6,0260%5%10th90th$1,479$50.0$200.0$1.0K$5.0K$20.0K

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
$851.14 / $4,570.88 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,071.52 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $16,982.44 / $28,840.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,071.52 / $2,344.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $7,244.36 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,862.09 / $10,471.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,238.72 / $4,570.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,445.44 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $2,454.71 / $14,125.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,715.35 / $16,982.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $10,715.19 / $17,378.01
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $2,137.96 / $6,760.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $2,630.27 / $7,762.47
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $28,840.32 / $28,840.32
Quartz
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $9,332.54 / $15,848.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $8,511.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,691.53 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $13,803.84 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,659.59 / $5,623.41