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Massachusetts rates for HCPCS L8687

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

Facilitymedian $5,888 · 10th–90th $5,888$44,6680%50%90th$5,888Professionalmedian $7,586 · 10th–90th $4,571$15,1360%20%10th90th$7,586$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,888.44 / $11,220.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $43,651.58 / $56,234.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,000.00 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $10,232.93
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $22,908.68
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $43,651.58 / $56,234.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,000.00 / $47,863.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $8,709.64 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $10,715.19 / $15,135.61