63663

CPT/HCPCS

Revision of spinal neurostimulator electrode array using fluoroscopic guidance

Physician Fee Schedule

Facility

Medicare Payment

$1,600.62

Submitted Charge$8,771.94
Medicare Allowed$2,011.74
Providers1,352
Beneficiaries1,722
Total Services2,686
Office

Medicare Payment

$451.07

Submitted Charge$2,848.64
Medicare Allowed$566.64
Providers33
Beneficiaries46
Total Services47