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      "text": "\"The reimbursement environment has gotten progressively worse. I mean authorizations. Insurance company guidelines are being very ridiculous...\"",
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      "text": "\"The reimbursement environment has gotten tougher over the years, definitely. Spinal cord stimulators are a hard-to-get item. They're a big upfront cost, so it's difficult. You have to fight based on diagnosis code and so on.\" –High volume implanter",
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      "text": "\"Insurers are making it even harder. Getting approval for spinal cord stimulation is the hardest it has been. In some local code determinations, they're making doctors send the patient to a neurosurgeon who writes a letter stating the patient is not a candidate for spinal cord stimulation.\" – KOL, high volume implanter",
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      "text": "16. The SCS market growth story fueled by Wall Street is false and undermined by escalating payor backlash",
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      "text": "Scorpion Capital | Nevro (NYSE: NVRO)",
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