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Montana rates for HCPCS L8680

Implantable neurostimulator electrode, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $478.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $407.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $407.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $354.81 / $575.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $338.84 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $234.42 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $251.19