Did my first procedure using Fair Health Data for a placement of neurostimulator in LA.
The surgeon quoted me $20-25,000 for the stimulator trial.
I got $19,226 using the 75%. This seemed right on.
63650 stimulator trial/lead placement $14,246 at 75%, mean data is $8,461
63687 Neuro generator placement/revision $15,386 at 75% mean at $9,411
L8680 HCPCS for leads $842. This is consistent with prices I have been quoted by the reps, per lead array.
L8687 HCPCS for generator $31,211. This seems high based on previous quotes, using 75%. Mean data is at $28,141.
and for kicks I looked up
63650 Med Surg for the physician fees. I also used my Med Fees 2016 to check this price. At 75% Fair Health was $8300. Med Fees had me at $4,950.
When I add up the equipment and the facility fees for the CPT I got $61,715 for permanent placement of the stimulator. Then I add in the MD fees and $69,159 for the whole party. MD quote was $50-55,000 for facility and his fee.
This used up 5 searches for 1 procedure.
Just curious about others findings and methodology thus far, in terms of what percentiles you are using and/or if you are using the mean?
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Liz Holakiewicz
BSN, RN, CCM, CNLCP
liz@lcpnurse.comCarlsbad, CA United States
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