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Connecticut 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
$2,074.00 / $4,450.00 / $10,492.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,678.00 / $14,219.00 / $22,189.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $5,327.33 / $5,327.33
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,588.00 / $4,682.00 / $5,880.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $7,843.00 / $11,371.00