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Illinois rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,673.04 / $4,673.04 / $4,673.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,443.02 / $4,673.04 / $7,573.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,209.45 / $46,200.34 / $168,720.64
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 / $6,654.66 / $9,742.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,144.83 / $41,002.76 / $47,780.70
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,768.14 / $5,901.75 / $13,952.03