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New York 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
$453.23 / $3,499.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $5,196.00 / $12,164.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.22 / $1,254.00 / $4,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.27 / $341.27 / $341.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.27 / $535.16 / $1,299.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.64 / $279.64 / $279.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,247.73 / $6,691.70 / $9,240.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.27 / $555.00 / $49,110.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $13,262.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.71 / $348.71 / $1,336.06