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New Hampshire 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
$460.19 / $460.19 / $552.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.10 / $425.63 / $460.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.29 / $817.29 / $968.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.87 / $490.87 / $521.54
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 / $434.09 / $510.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.72 / $661.72 / $2,042.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.82 / $407.74 / $661.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.79 / $592.67 / $754.32