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West Virginia rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $7,244.36 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $812.83 / $3,019.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $436.52 / $537.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,905.46 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,819.70 / $10,232.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $11,481.54 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,023.29 / $2,344.23