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Arizona rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.38 / $3,712.61 / $11,150.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,823.10 / $57,160.93 / $103,344.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,237.11 / $16,316.14 / $22,230.75
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 / $6,418.77 / $9,742.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,007.72 / $5,979.44 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,515.01 / $8,563.54 / $14,272.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,515.01 / $5,558.95 / $13,952.03