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Nebraska 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
$650.76 / $650.76 / $650.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.76 / $650.76 / $767.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.88 / $986.55 / $996.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.69 / $1,122.50 / $1,122.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.69 / $1,122.50 / $1,730.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.43 / $1,106.29 / $3,998.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.51 / $538.79 / $848.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.22 / $1,122.50 / $1,414.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.31 / $1,311.23 / $2,312.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.09 / $509.09 / $651.83