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Utah 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
$468.57 / $3,038.00 / $4,649.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.56 / $586.64 / $1,690.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.32 / $652.44 / $1,126.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $494.24 / $649.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,904.80 / $3,669.11 / $5,334.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.73 / $970.10 / $1,526.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,455.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.57 / $677.84 / $1,062.56