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Nebraska 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
$835.43 / $3,908.01 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,024.04 / $19,760.71 / $38,223.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,739.18 / $7,739.18 / $7,739.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.94 / $1,179.04 / $3,168.78
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.58 / $205.58 / $205.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.36 / $1,879.79 / $9,287.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00