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Nationwide rates for HCPCS 95971

Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.70 / $52.07 / $88.53	Facility	$41.70	$52.07	$88.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $47.08 / $75.62	Professional	$36.75	$47.08	$75.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $876.00	Facility	$333.00	$333.00	$876.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.30 / $52.91 / $81.94	Professional	$37.30	$52.91	$81.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $103.91 / $214.86	Facility	$80.95	$103.91	$214.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $62.83 / $114.86	Professional	$41.42	$62.83	$114.86
United Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $55.13 / $55.13	Facility	$55.13	$55.13	$55.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $63.83 / $108.81	Professional	$46.87	$63.83	$108.81

Nationwide rates for HCPCS 95971

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