go back

Tennessee 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
$575.44 / $2,290.87 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $6,606.93 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $29,512.09 / $29,512.09
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,943.28 / $11,481.54