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North Carolina 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
$561.54 / $2,295.13 / $7,898.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.75 / $395.75 / $3,337.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.05 / $451.00 / $794.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.64 / $11,028.25 / $12,000.00