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Washington, DC rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,914.28 / $5,914.28 / $5,914.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,914.28 / $5,914.28 / $5,914.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,802.89 / $11,802.89 / $11,802.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,418.77 / $6,418.77 / $6,418.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,433.93 / $6,433.93 / $20,367.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,058.04 / $6,787.48 / $9,615.60