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Nebraska rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,321.58 / $5,321.58 / $5,321.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,321.58 / $5,321.58 / $5,321.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,937.55 / $7,631.31 / $7,708.39
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
$7,551.49 / $12,178.13 / $17,180.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,321.58 / $10,111.00 / $45,439.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,368.72 / $8,331.95 / $14,272.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,457.15 / $13,634.62 / $21,476.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,406.33 / $15,154.70 / $23,379.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,368.72 / $5,053.09 / $14,272.59