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Missouri 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
$490.95 / $2,507.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.93 / $540.02 / $922.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $7,703.00 / $39,694.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.33 / $369.00 / $591.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $10,223.00 / $15,638.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.84 / $654.47 / $1,196.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.93 / $674.97 / $2,312.52
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
$652.04 / $1,013.28 / $5,049.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $3,874.00 / $9,475.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.35 / $868.90 / $1,374.99