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Illinois rates for HCPCS L8684

Radiofrequency Transmitter (External) For Use With Implantable Sacral Root Neurostimulator Receiver For Bowel And Bladder Management Replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.24 / $505.24 / $505.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.24 / $505.24 / $796.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.53 / $2,063.23 / $8,783.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.69 / $510.69 / $1,122.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.09 / $510.69 / $1,183.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.93 / $918.71 / $1,193.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.03 / $1,327.03 / $1,327.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.68 / $623.84 / $655.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $509.27 / $874.24