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Massachusetts 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
$38.32 / $55.91 / $888.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $46.85 / $75.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.98 / $188.10 / $291.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.09 / $90.55 / $327.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.18 / $198.93 / $261.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.57 / $80.30 / $121.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.46 / $279.74 / $604.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.07 / $82.67 / $152.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.03 / $80.06 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.19 / $54.45 / $87.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.78 / $101.21 / $144.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.97 / $693.97 / $817.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.51 / $60.51 / $60.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.10 / $188.10 / $188.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.16 / $120.66 / $477.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $70.38 / $141.74