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Montana rates for HCPCS L8681

Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $1,036.00 / $1,036.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.09 / $3,735.87 / $3,735.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.47 / $1,264.47 / $1,264.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.08 / $1,359.56 / $1,359.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.08 / $1,359.56 / $1,359.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.89 / $1,294.82 / $1,359.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.08 / $1,020.41 / $1,360.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.84 / $645.97 / $1,024.50