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Hawaii rates for HCPCS 63661

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

Facilitymedian $2,884 · 10th–90th $1,000–$2,8840%50%10th$2,884Professionalmedian $589 · 10th–90th $316–$1,0000%10%10th90th$589$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $588.84 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $794.33 / $1,071.52
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $645.65 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $851.14 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $676.08 / $891.25
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $537.03 / $977.24