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New York rates for HCPCS L8687

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

Facilitymedian $8,318 · 10th–90th $5,888–$15,4880%10%20%10th90th$8,318Professionalmedian $7,762 · 10th–90th $4,467–$13,1830%10%20%10th90th$7,762$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$5,888.44 / $5,888.44 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $5,888.44 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $10,715.19 / $19,054.61
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $12,302.69
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $28,183.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15,135.61 / $15,135.61 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,709.64 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,760.83 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $11,481.54 / $11,481.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,918.31 / $11,481.54 / $11,481.54