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Maryland 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
$36.31 / $46.77 / $97.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $36.31 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.54 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $53.70 / $75.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $39.81 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $52.48 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $67.61 / $75.86