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Tennessee 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
$549.54 / $2,290.87 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $588.84 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $1,096.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $5,248.07 / $5,248.07
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,754.40 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $575.44 / $1,047.13