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Kentucky rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,797.34 / $3,949.23 / $3,949.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,797.34 / $3,962.63 / $5,979.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,867.70 / $11,151.10 / $11,151.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,282.60 / $10,590.92 / $18,853.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,374.99 / $10,195.64 / $25,886.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,551.49 / $7,551.49 / $13,290.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,418.77 / $7,551.49 / $40,025.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,390.96 / $6,654.66 / $13,952.03