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Pennsylvania rates for HCPCS 63655

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $6,012.00 / $29,723.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,346.34 / $5,474.93 / $116,929.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.08 / $6,029.00 / $27,237.48
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $960.09 / $960.09
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.44 / $95.44 / $95.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.92 / $821.92 / $1,026.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $6,515.00 / $12,076.00