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Washington 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
$1,555.77 / $3,568.00 / $18,711.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.74 / $9,625.81 / $18,444.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$628.46 / $1,045.32 / $1,045.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.97 / $870.49 / $4,605.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.40 / $1,692.82 / $4,038.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.79 / $1,628.10 / $1,741.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.92 / $1,187.74 / $4,081.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,354.08 / $9,642.37 / $18,444.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,129.00 / $11,941.00