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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 $39.81 / $67.61 / $389.05	Facility	$39.81	$67.61	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $100.00	Professional	$36.31	$47.86	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $288.40 / $1,479.11	Facility	$40.74	$288.40	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $93.33	Professional	$38.02	$53.70	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $147.91 / $389.05	Facility	$63.10	$147.91	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $131.83	Professional	$40.74	$66.07	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $407.38	Facility	$114.82	$229.09	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $102.33	Professional	$37.15	$54.95	$102.33

Nationwide rates for HCPCS 95971

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