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Massachusetts 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
$851.14 / $2,187.76 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,677.35 / $16,218.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,230.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $870.96 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $14,791.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,677.35 / $16,218.10
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $15,488.17