go back

Texas rates for HCPCS 63663

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

Facilitymedian $2,884 · 10th–90th $550–$12,5890%5%10th90th$2,884$100.0$500.0$2.0K$10.0K$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
$630.96 / $2,511.89 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,549.93 / $18,620.87
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $977.24 / $3,019.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $891.25 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $6,918.31 / $13,489.63