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Massachusetts 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
$988.00 / $2,094.00 / $3,685.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $6,078.00 / $41,339.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.90 / $218.90 / $4,909.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.33 / $1,909.00 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $7,292.00 / $20,000.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.90 / $218.90 / $4,909.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $12,769.00