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Minnesota rates for HCPCS 63655

Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.50 / $787.50 / $7,859.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,135.87 / $38,058.97 / $77,741.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.05 / $2,771.09 / $6,666.23
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.44 / $95.44 / $95.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.50 / $2,533.44 / $5,249.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.54 / $1,401.91 / $11,496.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$207.89 / $207.89 / $207.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00