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Louisiana 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
$497.00 / $1,273.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,257.63 / $6,536.08 / $14,978.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.82 / $1,247.56 / $1,247.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $6,420.00 / $13,506.00