go back

Pennsylvania rates for HCPCS 63662

Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.26 / $2,326.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.99 / $971.99 / $971.99
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$96.90 / $96.90 / $96.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,230.45 / $8,102.27 / $39,265.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.26 / $2,266.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.99 / $971.99 / $971.99
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$96.90 / $96.90 / $96.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.53 / $831.54 / $831.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00