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Tennessee rates for HCPCS L8687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,011.87 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $14,454.40
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 / $7,585.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $56,234.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56,234.13 / $72,443.60 / $72,443.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,413.10 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,309.57 / $13,182.57