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Michigan 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
$1,122.02 / $4,897.79 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $676.08 / $676.08
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,290.87 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $9,549.93 / $16,982.44