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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
$599.29 / $599.29 / $599.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.29 / $658.49 / $5,864.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.68 / $1,162.68 / $1,162.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.28 / $1,162.68 / $2,414.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.75 / $1,539.93 / $2,001.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.08 / $2,059.98 / $2,059.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.03 / $1,476.59 / $2,214.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.16 / $928.29 / $1,524.35