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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
$6,309.57 / $6,309.57 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $6,025.60 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $37,153.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $6,165.95 / $14,125.38