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New Hampshire rates for HCPCS L8687

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

Facilitymedian $11,220 · 10th–90th $8,318$13,4900%20%40%10th90th$11,220Professionalmedian $11,749 · 10th–90th $5,888$16,2180%20%10th90th$11,749$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
$11,220.18 / $11,220.18 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,918.31 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
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 / $6,456.54 / $7,585.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $28,183.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $7,762.47 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $13,803.84 / $15,135.61