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South 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
$389.05 / $4,365.16 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,918.31 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $512.86 / $3,162.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $501.19 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,182.57 / $23,442.29