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Alaska 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
$2,464.00 / $6,782.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.83 / $1,761.23 / $2,465.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.83 / $1,761.23 / $2,465.71