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Oklahoma 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
$793.84 / $3,683.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.99 / $10,825.01 / $17,103.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.60 / $8,317.60 / $8,317.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.88 / $873.22 / $9,803.06
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.58 / $205.58 / $205.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,918.00 / $12,466.81