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Maryland 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
$0.98 / $0.98 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $645.65 / $2,238.72