go back

Virginia 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
$933.25 / $3,235.94 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $22,387.21 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $2,041.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,659.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $12,882.50 / $29,512.09