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New Mexico 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
$645.65 / $1,445.44 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $23,442.29 / $38,904.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $912.01 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $10,000.00 / $27,542.29