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Colorado 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
$932.00 / $3,889.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,990.00 / $19,587.00 / $44,198.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,389.93 / $7,389.93 / $23,278.69
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.77 / $877.01 / $1,379.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.00 / $930.16 / $1,594.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$12.05 / $12.05 / $24.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,146.00 / $13,110.00 / $20,534.00