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Maryland 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
$356.98 / $4,606.21 / $6,790.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.64 / $372.73 / $1,006.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.73 / $402.56 / $670.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $24,812.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.68 / $523.54 / $795.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.25 / $459.98 / $745.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,502.00 / $5,502.00 / $8,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.39 / $424.88 / $695.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.57 / $410.06 / $503.56