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Maryland 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
$0.98 / $6,022.46 / $6,343.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.25 / $582.99 / $1,368.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.12 / $352.12 / $447.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $873.24 / $990.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.39 / $640.97 / $1,281.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.71 / $912.37 / $1,279.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.05 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.99 / $744.35 / $1,328.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.02 / $813.35 / $999.59