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Alaska rates for HCPCS 63661

Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $630.96 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,412.54 / $2,951.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,584.89 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,621.81 / $3,388.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $912.01 / $3,090.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $676.08 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,584.89 / $3,162.28