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Idaho 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 / $54.45 / $75.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $71.97 / $89.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $62.62 / $92.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.38 / $76.33 / $92.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $67.34 / $84.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.30 / $271.68 / $332.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $65.87 / $83.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.72 / $76.48 / $101.39