go back

Kansas 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
$933.25 / $3,630.78 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $741.31 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $8,912.51 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,122.02 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,623.41 / $11,748.98