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Colorado 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
$40.74 / $40.74 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $46.77 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $67.61 / $100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $51.29 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.77 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $66.07 / $107.15