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Oklahoma 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
$776.14 / $3,683.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,813.99 / $10,825.01 / $17,103.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,721.89 / $14,721.89 / $14,721.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.49 / $1,227.19 / $12,719.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$218.90 / $4,909.63 / $4,909.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,541.00 / $12,466.81