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Missouri 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
$1,079.42 / $3,255.00 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $7,703.00 / $39,694.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $10,223.00 / $15,638.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.28 / $1,332.05 / $20,000.00
Medica
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
$2,426.00 / $6,362.00 / $12,989.00