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Arizona 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
$1,170.00 / $2,640.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,651.20 / $2,700.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.33 / $850.25 / $9,437.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.58 / $205.58 / $205.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,255.00 / $9,338.00 / $20,293.00