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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
$361.16 / $741.16 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.90 / $584.32 / $674.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.96 / $767.96 / $767.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00