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Texas 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
$410.24 / $410.24 / $443.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.24 / $443.05 / $820.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $937.00 / $937.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,998.55 / $4,490.37 / $4,490.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,776.42 / $4,776.42 / $6,129.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.23 / $703.47 / $937.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.23 / $862.04 / $950.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.23 / $626.09 / $937.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.09 / $434.09 / $526.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $509.27 / $626.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.87 / $494.56 / $937.00