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Wisconsin rates for HCPCS L8680

Implantable neurostimulator electrode, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $977.24 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $181.97 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $851.14 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $257.04 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $251.19 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $346.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $758.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,513.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $234.42 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $234.42 / $389.05