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Utah rates for HCPCS L8689

External recharging system for battery (internal) for use with implantable neurostimulator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,096.48 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,548.82 / $1,949.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $3,162.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,187.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,089.30 / $2,137.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,137.96 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,380.38