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New Hampshire rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,290.60 / $11,290.60 / $13,548.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,906.96 / $5,871.31 / $11,290.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,151.10 / $11,151.10 / $11,848.05
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 / $6,418.77 / $7,551.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,290.18 / $15,290.18 / $47,193.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,861.62 / $5,792.43 / $13,952.03