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New Mexico 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
$478.63 / $1,047.13 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $11,481.54 / $17,782.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $489.78 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $15,135.61