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Oregon rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,540.03 / $7,540.03 / $7,540.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,906.96 / $6,951.13 / $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 / $7,551.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,971.93 / $20,296.48 / $24,173.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,951.13 / $9,940.12 / $20,817.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,638.45 / $15,654.10 / $16,436.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,119.60 / $16,959.43 / $17,200.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,951.13 / $10,436.07 / $20,817.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,418.77 / $18,028.41 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,753.14 / $19,348.75 / $33,549.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,903.66 / $19,979.23 / $25,971.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,517.86 / $5,558.95 / $12,938.31