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Georgia 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
$627.15 / $3,360.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.08 / $2,795.56 / $6,315.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.54 / $626.54 / $626.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.27 / $640.00 / $72,800.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.75 / $503.69 / $1,176.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00