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Indiana 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
$344.47 / $3,584.04 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,950.00 / $16,615.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.52 / $349.08 / $384.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,605.73 / $2,605.73 / $3,088.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,582.00 / $12,569.00