go back

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
$893.09 / $2,145.78 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,441.19 / $23,618.57 / $38,486.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $745.30 / $1,281.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.00 / $10,074.00 / $21,396.00