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Oklahoma rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,370.32 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,025.60 / $45,708.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,606.93 / $56,234.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $7,413.10 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,495.41 / $13,182.57