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Utah rates for HCPCS 63663

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

Facilitymedian $3,162 · 10th–90th $1,202–$6,3100%10%10th90th$3,162Professionalmedian $1,318 · 10th–90th $646–$2,0890%10%10th90th$1,318$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,202.26 / $3,162.28 / $6,025.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $12,882.50 / $19,498.45
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,318.26 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,128.61 / $15,848.93