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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
$4,787.47 / $4,787.47 / $7,480.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,787.47 / $7,480.42 / $10,866.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,174.05 / $19,174.05 / $21,091.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,261.00 / $18,261.00 / $18,261.00
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,705.97 / $5,839.37 / $14,044.61