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Louisiana 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
$48.35 / $58.24 / $70.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $56.10 / $75.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.40 / $249.39 / $439.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.08 / $56.26 / $73.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $65.28 / $65.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $51.86 / $87.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.14 / $55.61 / $92.75