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Indiana 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
$660.69 / $3,801.89 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $40,738.03 / $57,543.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $446.68 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $933.25 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $11,220.18 / $17,378.01