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Kansas rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,233.47 / $6,233.47 / $6,233.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,975.33 / $4,555.07 / $6,943.61
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 / $7,551.49 / $12,178.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,555.07 / $7,523.42 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $8,732.10 / $26,373.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,554.02 / $5,558.95 / $13,938.08