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Michigan 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
$1,146.88 / $2,056.00 / $6,906.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,193.67 / $14,311.79 / $19,390.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.13 / $2,056.00 / $6,906.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00