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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
$576.55 / $2,056.00 / $5,774.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,444.49 / $9,911.35 / $13,428.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.87 / $2,056.00 / $5,774.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00