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Virginia 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
$502.67 / $502.67 / $508.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.05 / $502.67 / $508.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.11 / $953.11 / $1,012.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.22 / $1,037.22 / $1,275.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.16 / $573.16 / $651.54
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.18 / $857.80 / $1,143.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.23 / $586.17 / $1,069.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.82 / $1,251.91 / $1,587.57
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.17 / $719.30 / $1,191.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.17 / $719.30 / $1,191.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.76 / $475.49 / $682.16