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Montana rates for HCPCS L8687

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

Facilitymedian $14,791 · 10th–90th $7,586–$15,4880%50%10th90th$14,791Professionalmedian $6,918 · 10th–90th $4,365–$14,7910%10%20%10th90th$6,918$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,918.31 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,489.63 / $13,489.63
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $15,135.61
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $15,135.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $12,022.64 / $21,379.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $11,748.98 / $16,218.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,709.64 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $13,803.84