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Michigan 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 $5,370 · 10th–90th $501–$66,0690%10%20%10th90th$5,370Professionalmedian $398 · 10th–90th $178–$8320%20%10th90th$398$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
$501.19 / $4,897.79 / $66,069.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $371.54 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $478.63 / $1,122.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $4,897.79 / $43,651.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $831.76
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $467.74 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $24,547.09 / $63,095.73
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $446.68 / $602.56