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Idaho 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
$940.64 / $1,976.93 / $6,523.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.69 / $582.99 / $1,661.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.91 / $644.75 / $1,149.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.57 / $790.46 / $1,744.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.25 / $1,085.58 / $1,315.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,046.33 / $1,165.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.52 / $4,867.04 / $5,994.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.91 / $763.02 / $1,415.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.11 / $934.32 / $1,282.40