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North Carolina 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
$851.14 / $2,818.38 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $2,041.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $14,791.08 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $72,443.60 / $72,443.60
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36