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Massachusetts rates for HCPCS 63688

Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array

Facilitymedian $2,344 · 10th–90th $447–$5,6230%5%10th90th$2,344$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,344.23 / $4,466.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $6,165.95 / $19,498.45
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $436.52 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,248.07 / $11,220.18
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,778.28 / $1,778.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $6,165.95 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,128.61 / $11,220.18