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Michigan 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
$582.97 / $582.97 / $582.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.01 / $582.97 / $582.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.03 / $3,078.29 / $5,606.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.75 / $1,020.79 / $1,378.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.66 / $619.52 / $663.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.63 / $816.63 / $816.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.69 / $510.69 / $510.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.69 / $510.69 / $1,183.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.97 / $737.68 / $737.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.97 / $737.68 / $1,071.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $488.01 / $721.46