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Massachusetts 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
$626.62 / $2,038.98 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.25 / $540.02 / $959.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.94 / $2,575.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$163.95 / $163.95 / $163.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.10 / $929.55 / $2,886.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.32 / $496.42 / $985.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.92 / $987.12 / $2,147.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.94 / $852.31 / $1,689.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.64 / $704.42 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.79 / $955.04 / $1,323.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.51 / $911.41 / $2,002.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.01 / $1,763.01 / $14,832.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $143.44 / $143.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,628.00 / $9,039.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$163.95 / $163.95 / $163.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.63 / $1,265.03 / $4,841.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,249.00 / $12,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.21 / $1,004.15 / $1,969.77