go back

Washington 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
$1,659.59 / $3,548.13 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,479.11 / $25,703.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,819.70 / $17,378.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $1,819.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $6,760.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $38,904.51 / $74,131.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $33,113.11 / $63,095.73