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Arkansas 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
$572.00 / $1,064.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,716.34 / $6,716.34 / $8,059.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.68 / $1,981.68 / $1,981.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,555.00 / $8,929.00