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Nebraska rates for HCPCS L8687

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

Facilitymedian $9,550 · 10th–90th $5,370–$45,7090%10%10th90th$9,550Professionalmedian $6,026 · 10th–90th $4,365–$13,8040%20%10th90th$6,026$5.0K$10.0K$20.0K$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
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $7,585.78 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,302.69 / $19,054.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $10,000.00 / $45,708.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $8,317.64 / $14,125.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,125.38 / $21,379.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $19,054.61 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,882.50 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,760.83 / $14,125.38