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Connecticut 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
$56.39 / $122.89 / $245.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $48.97 / $111.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,287.00 / $33,498.72 / $39,410.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $58.16 / $103.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.97 / $232.58 / $391.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $69.54 / $139.69
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.96 / $70.36 / $97.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.51 / $60.51 / $60.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.92 / $77.56 / $148.08