go back

Virginia rates for HCPCS L8687

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

Facilitymedian $8,913 · 10th–90th $5,888$18,6210%20%10th90th$8,913Professionalmedian $7,079 · 10th–90th $4,571$15,1360%20%10th90th$7,079$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,888.44 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $23,442.29
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,000.00 / $13,182.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $13,489.63 / $13,489.63
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,585.78 / $18,620.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $7,585.78
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,471.29 / $19,498.45
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $10,471.29 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,709.64 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,413.10 / $14,454.40