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Texas 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 $3,715 · 10th–90th $631–$42,6580%5%10%10th90th$3,715Professionalmedian $389 · 10th–90th $282–$7240%20%10th90th$389$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
$794.33 / $2,951.21 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $50,118.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $43,651.58 / $89,125.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $323.59 / $512.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $2,570.40 / $22,908.68
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $426.58 / $630.96
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $27,542.29 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
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
$331.13 / $501.19 / $812.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $154,881.66
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $13,489.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $691.83 / $4,677.35
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $446.68 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $288.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $524.81 / $870.96
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $14,125.38 / $38,018.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $398.11 / $660.69
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $331.13