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Illinois 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
$741.31 / $1,995.26 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $9,120.11 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,090.30 / $10,232.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,412.54 / $3,235.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,165.95 / $15,488.17