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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
$707.95 / $2,884.03 / $16,982.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $891.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $14,791.08 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $29,512.09 / $29,512.09
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21