go back

New Jersey rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,368.86 / $7,368.86 / $7,368.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,171.09 / $5,321.58 / $11,150.46
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 / $8,203.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,086.91 / $36,086.91 / $36,086.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,131.76 / $8,820.20 / $9,378.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,510.53 / $6,615.16 / $11,934.64