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Arkansas 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.76 / $58.49 / $72.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $51.92 / $76.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $48.94 / $48.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.51 / $101.51 / $121.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.76 / $55.27 / $67.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.19 / $129.13 / $161.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.60 / $62.22 / $90.35
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.28 / $56.28 / $56.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.65 / $60.01 / $95.94