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Arizona 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
$1,230.27 / $3,090.30 / $6,309.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $18,620.87
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.78 / $218.78 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $10,000.00 / $20,892.96