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Wyoming rates for HCPCS 63663

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,846.40 / $5,846.40 / $5,846.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,934.00 / $6,934.00 / $26,502.00