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New York 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
$1,148.15 / $3,162.28 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,748.98 / $29,512.09
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,513.56 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$151.36 / $151.36 / $151.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $3,467.37
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $8,128.31 / $36,307.81
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,479.11