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New York 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 $6,310 · 10th–90th $794$27,5420%10%10th90th$6,310Professionalmedian $437 · 10th–90th $209$1,0720%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
$524.81 / $5,248.07 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,481.54 / $41,686.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $1,000.00
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $1,862.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,258.93 / $1,995.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $512.86 / $776.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $724.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $24,547.09 / $58,884.37
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $13,182.57 / $39,810.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $1,819.70
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $1,659.59
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $1,071.52