go back

New York 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
$660.69 / $2,951.21 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $23,988.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $776.25 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$77.62 / $77.62 / $77.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,584.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,606.93 / $16,982.44
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $524.81 / $1,318.26