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Massachusetts 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
$357.10 / $357.10 / $357.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.10 / $374.17 / $703.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.09 / $2,072.19 / $4,490.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.07 / $628.30 / $798.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.69 / $510.69 / $510.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.09 / $510.69 / $1,183.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.72 / $661.72 / $694.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,072.19 / $4,490.37 / $4,490.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.81 / $455.66 / $798.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.15 / $475.49 / $798.14