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Oregon 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
$912.01 / $2,041.74 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $2,344.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $954.99 / $2,187.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,621.81 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $977.24 / $1,905.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $22,387.21 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $20,892.96 / $27,542.29