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California 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
$943.65 / $5,165.00 / $17,328.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,977.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,028.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $10,132.37 / $18,147.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.05 / $698.43 / $1,487.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.62 / $905.06 / $1,669.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,084.84 / $3,168.78
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.58 / $222.36 / $222.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.20 / $884.44 / $1,440.64
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $295.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,722.00 / $29,312.00