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California 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
$1,174.00 / $5,322.00 / $17,380.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.00 / $4,720.00 / $10,404.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,835.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,480.00 / $3,818.37 / $6,838.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.68 / $363.22 / $572.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $395.51 / $699.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.64 / $11,028.25 / $12,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.66 / $423.69 / $678.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,200.00 / $9,713.00 / $21,278.00