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Nebraska 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
$1,506.15 / $5,909.48 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,906.94 / $7,769.24 / $15,028.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.50 / $2,916.50 / $2,916.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.48 / $603.40 / $6,509.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.85 / $841.03 / $3,701.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00