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Georgia 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
$36.63 / $45.19 / $91.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $47.89 / $94.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $40.95 / $59.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.02 / $55.06 / $99.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.64 / $63.64 / $63.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.12 / $104.12 / $104.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.18 / $62.72 / $115.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.03 / $56.13 / $158.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.07 / $64.19 / $94.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.29 / $72.89 / $123.81