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Pennsylvania 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
$551.28 / $1,819.00 / $6,432.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.25 / $550.63 / $1,026.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.14 / $918.55 / $1,098.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.84 / $561.84 / $561.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.18 / $56.18 / $56.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.28 / $599.69 / $1,104.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.59 / $1,070.42 / $1,373.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,266.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.25 / $607.85 / $1,690.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.60 / $500.60 / $1,459.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.84 / $561.84 / $561.84
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.18 / $56.18 / $56.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.65 / $609.05 / $1,141.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.49 / $344.61 / $659.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.49 / $527.47 / $711.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.34 / $789.70 / $1,247.32