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North Carolina 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
$441.15 / $1,159.44 / $7,362.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,092.08 / $3,092.08 / $3,137.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.10 / $606.10 / $8,855.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.15 / $994.10 / $1,341.28
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.22 / $144.59 / $221.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,015.00 / $15,545.00 / $22,780.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,084.84 / $3,084.84
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$115.19 / $222.36 / $222.36