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Arkansas rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,560.62 / $5,560.62 / $5,560.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,056.17 / $5,560.62 / $5,979.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,544.11 / $13,955.44 / $15,506.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,551.49 / $7,551.49 / $7,551.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,418.77 / $7,551.49 / $12,417.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $7,401.57 / $13,800.39