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Pennsylvania rates for HCPCS L8679

Implantable neurostimulator, pulse generator, any type

Facilitymedian $9,120 · 10th–90th $4,365–$33,8840%20%40%10th90th$9,120Professionalmedian $5,129 · 10th–90th $4,266–$8,9130%20%40%10th90th$5,129$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $33,884.42 / $33,884.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,011.87 / $8,709.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $5,623.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $13,182.57 / $19,054.61
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $10,000.00
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,079.46 / $10,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,128.61 / $8,511.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $19,498.45 / $19,498.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $9,332.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $7,244.36 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,025.60 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,754.40 / $10,000.00