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California rates for HCPCS 63685

Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.35 / $5,984.84 / $18,958.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.74 / $365.53 / $1,055.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,977.00 / $14,341.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.39 / $655.20 / $1,290.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,109.29
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.50 / $470.71 / $1,025.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,806.00 / $50,000.00 / $50,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.53 / $509.11 / $1,024.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.26 / $421.52 / $715.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.04 / $446.37 / $787.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.74 / $52,385.00 / $149,069.65
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.34 / $14,129.69 / $14,129.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,700.13 / $13,506.61 / $13,506.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.73 / $475.88 / $798.33
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$137.60 / $137.60 / $137.60
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$38.33 / $38.33 / $116.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.53 / $530.32 / $967.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.38 / $1,163.38 / $1,163.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.02 / $425.11 / $715.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,611.00 / $21,492.00 / $56,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.17 / $405.46 / $833.21