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West Virginia rates for HCPCS 63663

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

Facilitymedian $1,413 · 10th–90th $417–$6,6070%20%40%10th90th$1,413$50.0$200.0$1.0K$5.0K$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
$416.87 / $6,606.93 / $6,606.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $37,153.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $17,782.79