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Hawaii rates for HCPCS L8687

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

Facilitymedian $8,710 · 10th–90th $7,413–$12,5890%20%40%10th90th$8,710Professionalmedian $6,918 · 10th–90th $4,467–$29,5120%20%10th90th$6,918$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,888.44 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $30,902.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $12,882.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,709.64 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $12,589.25 / $14,125.38