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Nationwide rates for HCPCS 63688

Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $3,090.30 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,011.87 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $933.25 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,623.41 / $12,589.25