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Wisconsin rates for HCPCS L8687

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

Facilitymedian $8,511 · 10th–90th $4,365$43,6520%20%10th90th$8,511Professionalmedian $6,457 · 10th–90th $3,981$15,4880%20%10th90th$6,457$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
$4,365.16 / $7,762.47 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,677.35 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $9,549.93 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $27,542.29 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,964.78 / $12,302.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,585.78 / $16,982.44
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $28,183.83 / $37,153.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,511.38 / $45,708.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $9,332.54 / $15,848.93
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $12,022.64
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,135.61 / $32,359.37
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $20,417.38 / $28,183.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $16,218.10 / $56,234.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,589.25 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $8,709.64 / $14,125.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,413.10 / $14,125.38