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Hawaii 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
$37.35 / $50.19 / $75.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $60.31 / $69.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.54 / $66.90 / $76.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $53.08 / $61.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $60.31 / $81.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.45 / $47.18 / $64.56