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Washington, DC 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
$36.27 / $36.27 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.01 / $44.37 / $70.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $36.22 / $59.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $111.87 / $190.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $108.91 / $108.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $78.23 / $142.50