go back

Mississippi rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,786.30 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $8,709.64 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,495.41 / $14,125.38