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Minnesota rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,801.04 / $7,801.04 / $7,801.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,014.97 / $7,801.04 / $8,106.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,100.03 / $15,408.19 / $23,221.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,326.55 / $15,408.19 / $15,408.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,551.49 / $26,877.61 / $74,650.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,742.50 / $10,327.04 / $12,372.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,956.92 / $25,538.34 / $58,779.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,742.50 / $9,742.50 / $10,392.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.44 / $14,096.73 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $5,558.95 / $12,402.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $5,625.66 / $11,323.52