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North Carolina 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 $3,890 · 10th–90th $479–$29,5120%10%10th90th$3,890Professionalmedian $437 · 10th–90th $178–$9550%10%20%10th90th$437$1.0$10.0$100.0$1.0K$10.0K$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
$562.34 / $4,073.80 / $29,512.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $380.19 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $45,708.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $630.96 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $47,863.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $575.44 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $851.14
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $512.86 / $891.25
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $30,199.52 / $61,659.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $741.31
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $154,881.66 / $154,881.66
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $13,489.63 / $13,489.63