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Colorado 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
$442.27 / $3,760.00 / $9,872.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.88 / $2,784.88 / $8,772.54
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.45 / $469.58 / $615.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $447.65 / $592.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,689.00 / $15,722.00