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Arkansas rates for HCPCS 63664

Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $1,277.00 / $2,812.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,156.18 / $12,156.18 / $14,587.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.68 / $1,981.68 / $1,981.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,334.00 / $8,676.00