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Pennsylvania rates for HCPCS 63663

Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

Facilitymedian $2,692 · 10th–90th $661$8,3180%5%10th90th$2,692$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $23,988.33
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,778.28 / $6,606.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $794.33 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,309.57 / $21,379.62