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Connecticut rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,277.70 / $6,277.70 / $6,277.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,557.55 / $5,904.74 / $6,277.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,151.10 / $11,151.10 / $11,848.05
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 / $7,551.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,834.75 / $6,187.12 / $13,938.08