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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
$1,445.44 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $870.96 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$204.17 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,511.38 / $20,892.96