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Louisiana rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.51 / $6,053.98 / $7,980.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,862.27 / $6,053.98 / $8,143.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,106.29 / $6,225.81 / $6,767.18
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 / $7,551.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $7,411.94 / $13,952.03