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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
$621.09 / $2,660.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $9,901.00 / $18,247.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.98 / $639.98 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.96 / $767.96 / $767.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $580.00 / $1,167.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.85 / $820.85 / $820.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $49,110.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,762.00 / $16,961.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $526.00 / $1,482.82