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Utah 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
$263.23 / $263.23 / $263.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.23 / $306.27 / $2,727.52
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 / $510.69 / $1,183.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.11 / $700.18 / $910.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.83 / $936.64 / $936.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.36 / $671.38 / $1,007.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.15 / $407.74 / $584.96