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Nebraska 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
$628.99 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.01 / $533.82 / $1,690.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,906.94 / $7,769.24 / $15,028.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.18 / $646.00 / $1,280.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,387.40 / $1,387.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.77 / $988.07 / $1,757.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.21 / $828.69 / $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
$777.78 / $1,181.57 / $2,643.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.93 / $1,346.28 / $1,785.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.56 / $1,031.44 / $1,730.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.78 / $1,196.58 / $1,591.34