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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
$817.00 / $2,690.00 / $10,439.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.00 / $1,047.24 / $5,348.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $8,996.00 / $8,996.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.26 / $969.75 / $4,128.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,407.00 / $12,989.00