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West 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
$819.63 / $1,200.00 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.79 / $1,082.23 / $1,179.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.29 / $1,013.29 / $1,013.29
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.85 / $100.85 / $100.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,909.16 / $44,909.16 / $44,909.16