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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $6,606.93 / $6,606.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$77.62 / $77.62 / $77.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $37,153.52 / $37,153.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $17,782.79