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Alaska rates for HCPCS L8687

Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension

Facilitymedian $6,026 · 10th–90th $6,026–$12,5890%50%90th$6,026Professionalmedian $7,762 · 10th–90th $4,365–$34,6740%10%10th90th$7,762$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,585.78 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $7,585.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $12,589.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,413.10 / $11,220.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $34,673.69 / $34,673.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,054.61 / $34,673.69 / $46,773.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $12,589.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $6,456.54 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,165.95 / $15,135.61