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Michigan rates for HCPCS L8680

Implantable Neurostimulator Electrode, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.36 / $128.36 / $128.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.08 / $128.36 / $300.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.46 / $1,330.75 / $2,423.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.27 / $441.29 / $565.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.66 / $65.66 / $65.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.91 / $598.91 / $598.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.61 / $482.61 / $482.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.22 / $482.61 / $482.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.36 / $411.52 / $411.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.36 / $401.57 / $473.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.05 / $248.12 / $406.72