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New York rates for HCPCS 63655

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.75 / $5,576.00 / $12,668.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $10,673.00 / $36,444.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.07 / $1,168.07 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $960.09 / $960.09
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.44 / $95.44 / $95.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,562.31 / $7,031.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.63 / $783.63 / $783.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $49,110.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.44 / $95.44 / $95.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $7,719.00 / $52,889.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.77 / $970.77 / $3,401.69