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Montana 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
Professional
Modifier
Low / Median / High Price
$786.38 / $2,727.52 / $2,727.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.69 / $1,007.08 / $1,007.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.69 / $1,007.08 / $1,007.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.66 / $959.12 / $1,007.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.69 / $755.85 / $1,007.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.52 / $407.74 / $628.30