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Arizona 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
Professional
Modifier
Low / Median / High Price
$35.54 / $44.37 / $68.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $40.95 / $75.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.84 / $161.32 / $267.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $38.04 / $47.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.65 / $62.65 / $399.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $58.14 / $109.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $46.79 / $89.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.26 / $64.95 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.64 / $54.95 / $107.06