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Mississippi 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
$416.87 / $1,047.13 / $2,818.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,995.26 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,090.30 / $7,244.36