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Idaho 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
$4,500.00 / $5,519.00 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,963.04 / $10,963.04 / $10,993.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.54 / $1,408.55 / $2,475.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.87 / $31,165.89 / $41,273.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00