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Iowa rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,801.04 / $7,801.04 / $8,106.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,154.97 / $5,979.44 / $11,150.46
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
$7,551.49 / $9,742.50 / $12,455.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,608.28 / $41,486.90 / $43,944.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.44 / $19,712.03 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,041.97 / $8,655.37 / $17,466.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,457.15 / $12,455.99 / $20,178.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,406.33 / $15,154.70 / $23,379.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,034.92 / $7,411.94 / $14,272.59