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New Mexico rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,345.12 / $5,345.12 / $5,345.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.38 / $6,845.73 / $6,845.73
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 / $7,551.49 / $7,551.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $16,830.78 / $25,246.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.44 / $5,979.44 / $15,521.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,418.77 / $7,551.49 / $7,551.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,558.95 / $8,563.54 / $14,173.49