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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,193.92 / $6,193.92 / $6,211.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.98 / $1,100.69 / $2,313.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,328.80 / $17,085.84 / $22,023.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00