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Kentucky 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
$38.49 / $46.72 / $49.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $46.72 / $71.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.05 / $52.05 / $52.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.03 / $44.57 / $65.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $50.12 / $64.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $50.12 / $67.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.38 / $62.65 / $62.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.21 / $61.20 / $106.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $32.34 / $33.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $62.79 / $100.66