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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
$688.48 / $6,670.86 / $6,670.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.93 / $533.17 / $580.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.96 / $767.96 / $767.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,897.68 / $12,897.68 / $36,325.03