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South Carolina 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
$524.81 / $4,265.80 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,011.87 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,737.80 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$77.62 / $77.62 / $77.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $2,137.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $891.25 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $18,620.87 / $25,703.96