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Iowa 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
$2,218.00 / $3,576.15 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.37 / $1,070.10 / $2,379.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.52 / $1,462.00 / $9,673.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.58 / $205.58 / $205.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.36 / $1,934.48 / $9,479.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,220.00 / $9,259.00 / $14,242.22