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Nebraska 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
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,881.23 / $30,095.07 / $58,213.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,698.09 / $13,698.09 / $13,698.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.49 / $1,390.48 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.90 / $4,909.63 / $4,909.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.48 / $2,118.17 / $18,558.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00