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Arizona 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
$936.00 / $2,300.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.25 / $533.82 / $1,116.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.37 / $487.84 / $779.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $592.19 / $1,007.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.64 / $649.33 / $5,034.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$151.53 / $151.53 / $151.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.10 / $696.16 / $2,643.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.00 / $5,107.00 / $20,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.42 / $641.20 / $1,282.40