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Illinois 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
$528.42 / $1,379.00 / $9,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,753.59 / $4,911.29 / $8,731.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $3,082.00 / $10,223.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.84 / $528.66 / $3,418.03
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $4,530.00 / $8,566.00