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Massachusetts 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

Facilitymedian $2,818 · 10th–90th $537–$7,4130%10%20%10th90th$2,818Professionalmedian $437 · 10th–90th $245–$9120%10%20%10th90th$437$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,754.23 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $398.11 / $812.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $9,332.54 / $72,443.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $676.08 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $575.44 / $912.01
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $3,467.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $436.52 / $616.60
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,709.64 / $14,791.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,000.00
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $12,589.25 / $36,307.81
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $309.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $9,332.54 / $72,443.60
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,709.64 / $45,708.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $616.60 / $1,047.13