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Michigan 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
$479.32 / $2,677.09 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.85 / $3,422.36 / $4,636.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.54 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $9,202.00