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Maine 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
$0.83 / $7,585.78 / $63,095.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $891.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $7,585.78 / $63,095.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $776.25