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North Dakota rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,106.81 / $8,106.81 / $8,719.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,801.04 / $8,106.81 / $11,150.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,618.97 / $23,196.55 / $23,773.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,742.50 / $9,839.93 / $12,372.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,158.82 / $10,350.65 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,606.68 / $8,362.85 / $9,651.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,418.23 / $8,303.99 / $9,651.26