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| APC |
Group Title |
SI |
Relative Weight |
Payment Rate |
National Unadjusted Copayment |
Mininum Unajusted Copayment |
||
| 0039 | Level I Implantation of Neurostimulator | S | 189.9087 | "$12,545.18 | . | "$2,509.04 " | ||
| 0040 | Percutaneous Implantation of Neurostimulator Electrodes | S | 63.6772 | "$4,206.45 " | . | $841.29 | ||
| 0061 | "Laminectomy, Laparoscopy, or Incision for Implantation of Neurostimulator Electr" | S | 82.9048 | "$5,476.61 " | . | "$1,095.33 " | ||
| 0222 | Level II Implantation of Neurostimulator | S | 235.6477 | "$15,566.65 | . | "$3,113.33 " | ||
| 0225 | "Implantation of Neurostimulator Electrodes, Cranial Nerve" | S | 109.5182 | "$7,234.66 " | . | "$1,446.94 " | ||
| 0315 | Level III Implantation of Neurostimulator | S | 277.2288 | "$18,313.46 | . | "$3,662.70 " | ||
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| 2009 Addendum D1.--Payment Status Indicators | ||||||||