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Kentucky 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
$426.58 / $1,000.00 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $562.34 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$77.62 / $77.62 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,011.87 / $12,302.69