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Utah 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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $954.99 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,949.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,288.25 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $851.14 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $977.24