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New Jersey 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
$364.37 / $4,294.00 / $9,784.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,747.27 / $6,970.02 / $15,945.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00