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Utah 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
$509.33 / $3,038.00 / $5,743.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,251.88 / $6,548.64 / $9,401.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00