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North Carolina rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,007.78 / $30,220.09 / $83,925.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,671.62 / $7,007.78 / $7,007.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,560.84 / $18,817.25 / $19,873.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,353.43 / $5,767.13 / $6,151.60
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 / $7,551.49 / $9,742.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.44 / $8,409.34 / $17,058.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,491.74 / $14,491.74 / $14,491.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,679.20 / $11,679.20 / $36,997.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,838.68 / $7,917.32 / $13,938.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,496.72 / $47,096.11 / $47,096.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,707.21 / $72,618.45 / $72,618.45