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Maryland rates for HCPCS 63663

Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

Facilitymedian $1,862 · 10th–90th $912–$2,1380%50%10th90th$1,862Professionalmedian $1,148 · 10th–90th $1,000–$1,6980%20%10th90th$1,148$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,148.15 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,000.00 / $12,882.50