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Montana rates for HCPCS 63688

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.95 / $477.95 / $477.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.93 / $323.02 / $517.01