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South Dakota rates for HCPCS L8687

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

Facilitymedian $7,762 · 10th–90th $7,762–$21,3800%50%90th$7,762Professionalmedian $8,128 · 10th–90th $4,571–$12,3030%10%20%10th90th$8,128$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,762.47 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,803.84 / $23,442.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $8,709.64 / $56,234.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,125.38 / $18,620.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $20,892.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $8,317.64 / $13,182.57