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Indiana 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
$799.93 / $2,055.82 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,650.00 / $36,271.00 / $80,949.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.50 / $1,018.55 / $1,175.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,238.51 / $12,238.51 / $14,507.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,330.00 / $17,649.00