go back

Montana rates for HCPCS 63663

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.98 / $712.98 / $712.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.78 / $687.18 / $944.87