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Wyoming rates for HCPCS 63650

Percutaneous implantation of neurostimulator electrode array, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,202.26 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,621.81 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,737.80 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,918.31 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,659.59 / $4,897.79