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Maine 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
$1,006.63 / $1,006.63 / $22,379.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,379.94 / $22,379.94 / $22,379.94