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Alaska rates for HCPCS 63663

Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,541.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.78 / $2,418.88 / $5,745.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.78 / $2,418.88 / $5,745.94