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Maine rates for HCPCS L8687

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

Facilitymedian $7,586 · 10th–90th $3,715$7,5860%50%10th$7,586Professionalmedian $7,586 · 10th–90th $4,571$15,4880%10%10th90th$7,586$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,025.60 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,964.78 / $11,220.18 / $11,220.18
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 / $7,585.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $15,135.61 / $15,488.17
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,025.60 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $14,125.38 / $15,135.61