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Georgia rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,469.92 / $4,469.92 / $4,469.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,469.92 / $5,662.74 / $7,573.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,161.44 / $11,151.10 / $13,713.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,723.17 / $12,723.17 / $12,723.17
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,017.42 / $11,971.41 / $72,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $8,752.68 / $13,970.69