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Louisiana 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
$497.00 / $1,300.00 / $3,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,326.08 / $6,913.21 / $12,095.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.10 / $2,547.63 / $2,547.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $425.00 / $425.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $9,160.00