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Illinois 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
$762.00 / $1,669.29 / $5,389.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,283.54 / $16,864.11 / $23,178.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,082.00 / $17,769.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.29 / $1,571.89 / $3,852.26
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.00 / $6,885.00 / $14,716.00