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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
$629.26 / $2,027.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.58 / $540.02 / $921.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $2,687.00 / $3,681.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.29 / $604.33 / $1,092.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.33 / $636.04 / $1,090.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,261.40 / $2,312.52
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$151.53 / $163.95 / $163.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,607.79 / $4,841.20 / $5,749.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.00 / $3,597.00 / $7,371.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.11 / $707.44 / $1,263.32