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Missouri rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,975.33 / $5,954.30 / $14,283.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,975.33 / $4,673.04 / $6,233.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,448.66 / $10,709.86 / $13,210.56
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 / $6,418.77 / $7,551.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,329.43 / $11,068.82 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,764.02 / $7,401.57 / $15,521.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,632.46 / $5,829.49 / $14,173.49