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Wisconsin rates for HCPCS 63663

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

Facilitymedian $14,454 · 10th–90th $977–$25,1190%10%10th90th$14,454Professionalmedian $1,514 · 10th–90th $794–$3,1620%10%10th90th$1,514$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
$407.38 / $912.01 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $16,982.44 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,818.38 / $4,786.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,023.29 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,122.02 / $14,125.38
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,513.56 / $3,162.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $19,952.62 / $29,512.09
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,951.21
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $13,803.84 / $17,378.01